Current jobs related to Contract Medical Billing and Coding Manager PR0001A - Letterkenny, Donegal - ProSidian Consulting, LLC

  • Low-Code Development Specialist

    3 days ago

    Letterkenny, Donegal, Ireland Tata Consultancy Services Full time

    Role: Low-Code Development SpecialistJob Type: PermanentLocation: Hybrid/Remote (minimum of 2 days onsite per month)We are seeking a skilled Low-Code Development Specialist to design and implement innovative data solutions using Microsoft Power Platform.The RoleAs a Low-Code Development Specialist, you will play a key role in driving the design and...

  • Contract Manager

    3 weeks ago

    Letterkenny, Donegal, Ireland Vertiv Full time

    Vertiv are a global provider of critical digital infrastructure and continuity solutions. Vertiv, Ireland is focused on solving the most important challenges facing today's data centres, communication networks and commercial and industrial facilities with a portfolio of power, cooling, and IT infrastructure solutions.Vertiv is a Global Leader in technology...

  • Director of Medication Management

    2 weeks ago

    Letterkenny, Donegal, Ireland Optum Full time

    About the Position: In this role, you will play a critical part in driving the development of United Health Care formularies or Prescription Drug Lists (PDLs). Your focus will be on leading coverage and utilization management decisions for pharmacy and medical benefit drugs based on financial modeling and strategic analysis. You will establish strong...

  • Senior Manager, Contract Negotiations

    2 weeks ago

    Letterkenny, Donegal, Ireland Optum Full time

    Required Skills and QualificationsTo be successful in this role, you will need a Bachelor's degree or equivalent experience. Proven experience in contract analysis, contract management or review strategy development and contract redlining is required.PREFERRED QUALIFICATIONS: Advanced degree (MBA or Pharm D), Experience in managed health care or pharmacy...

  • Nurse Unit Manager Medical

    6 days ago

    Letterkenny, Donegal, Ireland OASIS Group Full time

    About the RoleWe are seeking an experienced and skilled Clinical Nurse Manager (Medical) to join our team at OASIS Group. The successful candidate will be responsible for managing the delivery of patient care within the designated area(s) of responsibility.Key ResponsibilitiesCo-ordinate, assess, plan, implement, and review care for service users according...

  • Director of Medication Access Strategy

    2 weeks ago

    Letterkenny, Donegal, Ireland Optum Full time

    Company OverviewOptum is a global organization that delivers care and services to help millions of people live healthier lives. Our mission is to make the health system work better for everyone. We believe everyone deserves the opportunity to live their healthiest life, regardless of their background or circumstances.We are committed to mitigating our impact...

  • Senior Clinical Nurse Manager

    6 days ago

    Letterkenny, Donegal, Ireland OASIS Group Full time

    Job DescriptionThe Clinical Nurse Manager (Medical) plays a crucial role in maintaining high-quality patient care within the designated area(s) of responsibility. This position is responsible for the management, care, and treatment of service users, ensuring that the optimum standard of care is provided.Key ResponsibilitiesCoordinate, assess, plan,...

  • Senior Commercial Manager

    1 week ago

    Letterkenny, Donegal, Ireland Farrans Construction Full time

    Job Title: Senior Commercial ManagerRole Overview:Farrans Construction seeks an experienced Senior Commercial Manager to administer contracts, manage risks, and negotiate with stakeholders. As a key member of the commercial team, you will work closely with project teams to deliver successful projects.Key Responsibilities:Manage commercial operations,...

  • Medical Urology Expert

    2 weeks ago

    Letterkenny, Donegal, Ireland TTM Healthcare Limited Full time

    Job DetailsTTM Healthcare Solutions - 44 jobsJob level: Deputy Home Manager, Manager, Other Qualified ProfessionalHours: Part timeType: ContractCandidates with experience in UK/Irish urology are required.We are recruiting a Consultant Urology Locum Doctor to HSE hospitals in Ireland starting ASAP for 6 weeks.The successful candidate will have full IMC...

  • Clinical Lead Nurse

    6 days ago

    Letterkenny, Donegal, Ireland OASIS Group Full time

    Job OverviewOASIS Group is seeking a qualified Clinical Nurse Manager (Medical) to lead our team in delivering high-quality patient care. The successful candidate will be responsible for the coordination, assessment, planning, implementation, and review of care for service users.Key ResponsibilitiesPlay a central role in maintaining a safe environment for...

  • Medical Leadership Role

    1 week ago

    Letterkenny, Donegal, Ireland OASIS Group Full time

    Job Description: OASIS Group seeks an accomplished Clinical Nurse Manager (Medical) to drive excellence in patient care and lead our healthcare team. As a senior nursing professional, you will oversee the management, care, and treatment of service users, prioritizing their needs and ensuring delivery of exceptional care. Responsibilities: Coordinate and...

  • Global Asset Management IT Specialist

    4 days ago

    Letterkenny, Donegal, Ireland PGIM Ireland Full time

    About the TeamYou will be part of our dynamic Technology Solutions Group, a fast-paced environment with exciting changes on the horizon under new senior leadership. We are looking for a talented Enterprise Java Developer to support and build out scalable applications for our Back and Middle Office stakeholder groups.What You Will Do:Develop high-quality,...

  • Data Management Specialist

    1 week ago

    Letterkenny, Donegal, Ireland PGIM Full time

    Job SummaryWe are seeking an experienced Senior Software Engineer to join our team in Ireland. The successful candidate will be responsible for building applications ensuring that the code follows modern coding practices and industry standards, using best design patterns and architectural principles. They will also collaborate with tech leads to define...

  • Senior Investment Operations Analyst

    1 week ago

    Letterkenny, Donegal, Ireland PGIM Full time

    Java Developer in Asset ManagementWe're passionate about making a meaningful impact - touching the lives of millions and solving financial challenges in an ever-changing world. As a Java Developer in Asset Management, you'll be working closely with cross-functional teams to design and develop Java and spring-based applications, along with Python-based data...

  • Associate Medical Director

    2 weeks ago

    Letterkenny, Donegal, Ireland Optum Full time

    Optum is a global organisation that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion,...

  • Pharmacy Management Expert

    1 week ago

    Letterkenny, Donegal, Ireland Optum Full time

    Key ResponsibilitiesDevelop PDLs and accompanying utilization management programs for Commercial business to achieve affordability and savings targets, manage trend and improve quality for approximately 14 M covered lives.Drive development of coverage strategies for medications covered under the medical benefit to achieve affordability and savings targets,...

  • Associate Medical Director

    2 weeks ago

    Letterkenny, Donegal, Ireland Optum Full time

    Optum is a global organisation that delivers care, aided by technology to help millions of people live healthier lives.The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best.Here, you will find a culture guided by diversity and inclusion,...

  • Associate Medical Director

    7 days ago

    Letterkenny, Donegal, Ireland Optum Full time

    Optum is a global organisation that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion,...

  • Front Office Manager

    3 weeks ago

    Letterkenny, Donegal, Ireland TN Ireland Full time

    As a dedicated Front Office Manager, you will oversee the front office and reservations team maintaining high standards of service and guest satisfaction.Duties:Oversee daily operations to meet hotel standards.Organise rotas for adequate staffing.Handle guest enquiries and reservations via various channels.Maintain accurate guest information and complete...

  • Formulary Management Strategist

    2 weeks ago

    Letterkenny, Donegal, Ireland Optum Full time

    We are seeking a highly skilled and experienced professional to join our team as an Associate Director of Formulary Management Strategy. This role will involve leading coverage and utilization management decisions for pharmacy and medical benefit drugs based on financial modeling and strategic analysis.The successful candidate will have a strong background...

Contract Medical Billing and Coding Manager PR0001A

1 month ago

Letterkenny, Donegal, Ireland ProSidian Consulting, LLC Full time
Contract Medical Billing and Coding Manager [PR0001A]
  • Full-time

ProSidian is looking for "Great People Who Lead" at all levels in the organization. Are you a talented professional ready to deliver real value to clients in a fast-paced, challenging environment? ProSidian Consulting is looking for professionals who share our commitment to integrity, quality, and value.

ProSidian is a management and operations consulting firm with a reputation for its strong national practice spanning six solution areas including Risk Management, Energy & Sustainability, Compliance, Business Process, IT Effectiveness, and Talent Management. We help clients improve their operations.

ProSidian Seeks a Contract Medical Billing & Coding Manager (Full-Time) in CONUS - Fort Stewart, GA to support an engagement for a branch of the United States Armed Forces' Regional Health Command whose mission is to provide a proactive and patient-centered system of health with the focus on the medical readiness of all Soldiers.

The ProSidian Engagement Team Members work to provide health coding services to a branch of the United States Armed Forces' Regional Health Command- Atlantic (RHC-A) military treatment facilities. The ProSidian Contract Service Providers (CSP) will work in conjunction with other health care providers, professionals, and non-contract personnel.

As a ProSidian Contract Medical Billing & Coding Manager, you will manage the medical coding staff to ensure accuracy, consistency, and efficiency in relation to code assignment for reimbursement and reporting purposes. The Medical Billing & Coding Manager also functions as a great partner, promotes a service mentality, and drives to exceed customer expectations and needs. The Medical Billing & Coding Manager shall oversee medical coding staff, clients, and projects.

  • Labor management including overseeing production goals, managing employee schedules and performance, and providing opportunities for continuing education and cross-training.
  • Manages, reviews and ensures quality initiatives are being met including reviewing claims reports, lag/productivity reports, daily volume/productivity reports, chart reviews, and accuracy rate.
  • Works in conjunction with the Issue Resolution Teams on follow-up and resolution of coding related denials and rejections.
  • Functions as a subject matter expert and directs practices and other appropriate staff in surgical documentation, billing, coding, and reimbursement issues.
  • Acts as the main contact for division and practice coding issues, questions, and concerns.
  • Monitor health records documentation and coding operations.
  • Train and manage coding professionals and ensure periodic interval training is provided to staff to ensure knowledge and skills are current and continuously improving.
  • Verify compliance with DHA coding compliance plans, policies, and procedures.
  • Ensure coding staff is current in MHS coding guidance and coding industry standards.

The Contract Medical Billing & Coding Manager shall have consecutive employment in a position with comparable responsibilities within the past five (5) years. Must have a minimum of 2 years of medical coding management experience in the DoD/Military Health System (MHS) and certification from AHIMA or AAPC.

Work products shall be thorough, accurate, appropriately documented, and comply with established criteria. The candidate shall ensure that duties are performed in a competent and professional manner that meets milestones/delivery schedules as outlined.

TRAVEL: Travel as coordinated with the technical point of contact and approved in writing by the Contracting Officer in advance, is allowed, in accordance with Federal Travel Regulations.

LOCATION: Work shall be conducted CONUS - Fort Stewart, GA

BENEFITS AND HIGHLIGHTS: ProSidian offers a range of benefits for Full-Time Employees, including competitive compensation, group health benefits, 401(k) retirement savings plan, and more.

ProSidian Consulting is an equal opportunity employer and considers qualified applicants for employment without regard to race, color, creed, religion, national origin, sex, sexual orientation, gender identity and expression, age, disability, or veteran status.

FOR EASY APPLICATION USE OUR CAREER SITE LOCATED ON http://www.ProSidian.com/ OR SEND YOUR RESUME, BIOS, AND SALARY EXPECTATION / RATES TO CAREERS@PROSIDIAN.COM.

ONLY CANDIDATES WITH REQUIRED CRITERIA ARE CONSIDERED.

#J-18808-Ljbffr