Contract Medical Billing and Coding Manager [PR0001A]

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 who's mission is to provide a proactive and patient-centered system of health with the focus on athe medical readiness of all Soldiers and for those entrusted to the care for a medically-ready force.  The Armed Forces' overall mission is "to fight and win our Nation's wars, by providing prompt, sustained, land dominance, across the full range of military operations and the spectrum of conflict, in support of combatant commanders".  The Regional Health Command's Readiness Mission includes dental care of active duty Soldiers, public health services, veterinary services, and providing management and support to wounded, ill and injured Soldiers assigned to its seven warrior transition units. 

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 and provide services to MTFs located in the National Capital Region and the following RHC-A Medical Treatment Facility (MTFs) locations: AL | PR | FL | GA | KY | DC | MD | PA | VA | NY | NC | SC.  Additionally, the vendor may be required to provide coding services to other military services (i.e. U.S. Navy, U.S. Air Force).  The ProSidian Contract Service Providers (CSP) will work in conjunction with other health care providers, professionals, and non-contract personnel.

MD - Medical Billing & Coding Candidates shall work to support requirements as a Contract Medical Billing & Coding Manager and 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. This position will supervise the audit of coded medical records, communicate all coding issues with the appropriate clinical staff members, and identify solutions for project, process, or client challenges. Manage project finances and report results while adhering to Military Health System policies. Will ensure quality and productivity remain at the expected level.

• Labor management including overseeing production goals, managing employee schedules and performance, and provides 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 to address any issues.
• Coordinates and reconciles multiple facility accounting schedules to ensure complete charge capture including coding complex operative procedures for surgical specialties.
• Functions as a subject matter expert and directs practices and other appropriate staff in surgical documentation, billing, coding, and reimbursement issues.
• Manages and executes audits for chart reviews and new providers.
• Acts as the main contact for division and practice coding issues, questions, and concerns.
• Monitors and supports IET resolution for responsible practices and works with appropriate leadership for resolution.
• 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.
• Develop staff schedules to cover clinic visit volumes adequately.
• Regularly collaborate with your team to maintain the satisfaction of patients.
• Verify compliance with DHA coding compliance plans, policies, and procedures, including review of the MTF coding compliance plan.
• Implement a DoD Health Records control process, which must include procedures to achieve a 97 percent availability of complete health records for coding while striving for 100 percent.
• Write and present reports on performance, compliance, and documentation issues.
• Ensure coding staff is current in MHS coding guidance and coding industry standards.