Medical Coding Contract Manager
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Job Description
Contract Manager at IMS overseeing medical coding operations and ensuring performance of related contracts. Managing audits, training, and providing technical guidance to coding staff.
Responsibilities:
- Aid the Contract Manager with the Maintenance of the following documents for all contract coders: Monthly audits of each employee and CSP Annual required training Renewal of credentials and qualifications for the job An assessment of knowledge, skills, abilities and behaviors required to perform the job correctly and skillfully Current performance evaluation supporting ability of the employee and contractor support personnel to successfully perform the work required for this contract Evidence of continuing education for the previous two (2) years.
- Aid the Contract Manager and Management as needed to electronically submit a Monthly Status Report (MSR) to the COR by the 5th calendar day of each month. The MSR shall outline progress, status, risks and problems/issues encountered to include roles and responsibilities, identify any government dependencies that are overdue which are impacting schedule and/or performance of this contract. The MSR shall include such items as a description of activities of the past month (summary of work accomplished during the month and percent complete by each MTF); schedule of activities planned and estimated date/time of completion; and a summary of the status of work initiatives and documentation updates. The MSR shall include enhanced data for each MTF and provide details for each COR responsible for that contract. Each COR shall be able to see a breakdown of enhanced data by their MTF. The enhanced data shall include coder-specific information (by coder name) and identify and group coders by accuracy and productivity levels. The enhanced data shall allow the government to trend and analyze CSPs coding accuracy and productivity levels at each MTF. Enhanced data includes, as a minimum, the following: Number of records coded by each coder, each month and by type (OP Clinic, APV, ED, and IPSR, other outpatient records). The accuracy rate of each coder by type (gathered through contractor self-auditing). The productivity rate of each CSP by type of record and what records are being coded by each CSP. The MSR shall build on each previous month to create an annual report and shall have the capability to show a rolling 12-month view. The MSRs shall provide the billed dollar amount of each completed record for each month broken down for COR and MTF. The MSR shall include a summary page to give a snapshot of the entire MSR and identify any trends. The MSR may include the Quality Control Inspection Report.
- Serve as the Acting Contract Manager when the Contract Manger is not available.
- Serve as the primary auditor/contact for the monthly internal audit to be given to the Contract Manager on the 27th of every month to ensure 97% accuracy is maintained.
- Work with the Contract Manager in developing regular training sessions on the internal audits, DHA/MHS updates and industry coding updates.
- Provide to the Contract Service Providers (CSPs) an audit regarding their capabilities and audit results before the 23rd of the month.
- Code as needed, based on the instruction of the Contract Manager and current coding needs.
- Work with the coding staff along with the Contract Manager daily to give correct coding guidance as required.
- Other duties assigned will be at the discretion of the Contract Manager and IMS Management.
Requirements:
- Must possess current coding credential from either the American Health Information Management Association (AHIMA) or the American Academy of Professional Coders (AAPC)
- Must have Department of Defense Medical Coding auditing experience.
- Minimum one year of coding management experience with DoD medical coding, specifically for the outpatient and inpatient medical coding areas
- Extensive knowledge of Genesis, the DoD electronic health record.
- Knowledge of Solventum 360
- Extensive knowledge of Microsoft, (Word, PowerPoint and Excel)
- Extensive knowledge for understanding and applying both civilian and MHS official coding clinic/guidelines.
- Knowledge of medical terminology and usage, including general medical, surgical, pharmaceutical, hospital terms and abbreviations and abstracting techniques.
- Knowledge of broad range of references such as the ICD-10-CM, ICD-10 PCS, CPT, HCPCS, modifiers, medical dictionaries, and manual related to coding textbooks and glossaries.
- Knowledge of legal and regulatory requirements of medical records.
- Knowledge of medical records procedures, maintenance and documentation, regulations, and principles to carry out a variety of medical records functions such as retrieval of information, analysis, coding, ensuring compliance, and compiling data.
- Knowledge of laws and regulations on the confidentiality of medical records.
- Knowledge of medical records procedures, regulations and principles to carry out a variety of medical records functions such as analysis, coding, ensuring compliance, and compiling data.
- Knowledge and skill in data collection methods for basic health care, research information and statistical reporting.
- Skill in effective oral and written communication.
- Ability to train staff and provide guidance to CSPs regarding their coding capabilities and audit results.
Benefits:
- 401(k) Retirement Plan
- Medical, Rx, Dental & Vision Insurance
- Personal and Family Sick Time
- 11 Company Paid Holidays
- Medical & Dependent Care Flexible Spending Accounts
- Group Life & Accidental Death & Dismemberment (AD&D) Insurance
- Group Short Term Disability Insurance
- Voluntary Life Insurance, Long Term Disability Insurance, Accident Insurance, Critical Illness Insurance, and Hospital Indemnity Insurance
- Personal Development & Learning Opportunities
- Skills Development & Certifications
- Employee Referral Program
- Corporate Sponsored Events & Community Outreach
- Position may be eligible for a discretionary variable incentive bonus
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