Contract Medical Billing and Coding Manager PR0001A

3 days 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.

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