Medical Coding Auditor

About Integrated Management Strategies (IMS) LLC We are a women-owned small business and management consulting firm that provides an array of business and technical services. IMS is headquartered in the Washington, D.C. metropolitan area, with employees across 39 US states. What We Do We support the mission critical needs of federal agencies by leveraging our experience, talent and can-do attitude, and solve their strategic and operational challenges. How We Do It We earn our clients’ trust through our personalized approach and attention to detail, allowing us to collaborate and solve even the most complex problems. About the role Are you ready for your next career adventure? Integrated Management Strategies (IMS) is an award-winning, fast-growing woman-owned small business in the Washington DC area, specializing in healthcare, technology, and management consulting. We are seeking an experienced Medical Coding Auditor to join our healthcare consulting practice. The role is fully remote within the US, with infrequent travel to client locations for onboarding and training. We are proud of our national presence, and excited to offer great career opportunities within the organization. The Alternate Contract Manager (ACM) reports to the Contract Manager (CM) and helps the CM as needed in overseeing the work performed by IMS Employees, Contract Service Providers (CSPs), quality assurance, and is responsible for the performance of the MEDCOM contracts. What you'll do 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. Qualifications 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 Solventum360 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 a broad range of references such as the ICD-10-CM, ICD-10 PCS, CPT, HCPCS, modifiers, medical dictionaries, and manuals 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. What we offer: 401(k) Retirement Plan Personal and Family Sick Time 11 Company Paid Holidays Medical & Dependent Care Flexible Spending Accounts 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 Integrated Management Strategies is an equal opportunity employer that is committed to diversity and inclusion in the workplace. We prohibit discrimination and harassment of any kind based on race, color, sex, religion, sexual orientation, gender identity, national origin, disability, pregnancy, status as a protected veteran, or any other protected characteristic as outlined by federal, state, or local laws. If you are an individual with a disability and would like to request a reasonable accommodation for the employment process, please email your request to View email address on click.appcast.io E-Verify is a registered trademark of the U.S. Department of Homeland Security. This business uses E-Verify in its hiring practices to achieve a lawful workforce. The salary range provided for this position is a nationwide market range and represents a broad range of salaries for this role across the country. The actual salary rate for this position will be determined by a number of factors, including, scope, complexity, and location of the role; the skills, education, training, credentials, and experience of the candidate, and other conditions of employment. #J-18808-Ljbffr Integrated Management Strategies