Job Description
Lead Medical Coder and Auditor (PR0001D) 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. ProSidian Seeks a Lead Medical Coder and Auditor (Full-Time) in CONUS - Fort Stewart, GA to support an engagement for a branch of the United States Armed Forces' Regional Health Command. The ProSidian Engagement Team Members work to provide health coding services to military treatment facilities (MTFs) and provide services to MTFs located in the National Capital Region. MD - Medical Billing & Coding Candidates shall work to support requirements as a Lead Medical Coder and Auditor and review health record documentation for assignment of proper diagnosis and procedure codes. This position will review and accurately code/audit office and hospital procedures for reimbursement. Audit vendor and internal risk adjustments coding to ensure accuracy and identify and mitigate any risks. Receive and review patient charts and documents for accuracy Ensure that all codes are current and active Report missing or incomplete documentation Meet daily coding production Review medical records and other source documents and collect clinical data according to specifications and guidelines provided by MHS Accurately enter data into abstraction software Update and maintain document lists Ensure proper coding on provider documentation Serves as resource regarding insurance resolutions and coding questions Follow all DoD and DHA directives relating to protection of patient information and privacy practices. Follows coding guidelines and legal requirements to ensure compliance with federal and state regulations Maintain security and confidentiality of medical records and Protected Health Information (PHI) Performs additional duties assigned by Coding Manager as needed The Lead Medical Coder and Auditor shall have consecutive employment in a position with comparable responsibilities within the past five (5) years. Must be able to use a computer to communicate via email; and proficient in Microsoft Office Products. Must Have A Minimum Of 2 Yrs Certification Of One Of The Following: a) American Health Information Management Association (AHIMA) Credentials: RHIA, RHIT, CCA, CCS and/or b) American Academy of Professional Coders (AAPC): CPC, COC, CIC, CRC. Work products shall be thorough, accurate, appropriately documented, and comply with established criteria. Keys Skillset Attributes Required To be successful are Attention to Detail, Discretion, Computer Skills, Organizational Skills, Writing Skills, Operations, Coding, Quality, Compliance, Analytical abilities. High school degree or equivalent; Bachelor’s degree in related field preferred Medical Coding Certificate; RHIT or CPC by AAPC or AHIMA license; meet state licensure requirements Maintain coding certification and attends in-service training as required Two (2) years of medical coding experience Understanding of medical terminology, anatomy and physiology Ability to work independently or as an active member of a team Strong computer skills in data entry, coding, and knowledge of Electronic Medical Record software Accurate and precise attention to detail Outstanding oral and written communications skills Clinical background and previous chart abstraction experience is preferred. 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 As a condition of employment, all employees are required to fulfill all requirements of the roles for which they are employed. CORE COMPETENCIES Teamwork – ability to foster teamwork collaboratively as a participant, and effectively as a team leader Leadership – ability to guide and lead colleagues on projects and initiatives Business Acumen – understanding and insight into how organizations perform Communication – ability to effectively communicate to stakeholders of all levels Motivation – persistent in pursuit of quality and optimal client and company solutions Agility – ability to quickly understand and transition between different projects Judgment – exercises prudence and insight in decision-making process Organization – ability to manage projects and activity, and prioritize tasks OTHER REQUIREMENTS Business Tools – understanding and proficiency with business tools and technology, including Microsoft Office. Commitment - to work with smart, interesting people with diverse backgrounds. Curiosity – the ideal candidate exhibits an inquisitive nature and the ability to question the status quo. Humility – exhibits grace in success and failure while doing meaningful work. Willingness - to constantly learn, share, and grow. BENEFITS AND HIGHLIGHTS ProSidian Employee Benefits and Highlights: Your good health and well-being are important to ProSidian Consulting. At ProSidian, we invest in our employees to help them stay healthy and achieve work-life balance. Competitive Compensation: Pay range begins in the competitive ranges with Group Health Benefits. Group Medical Health Insurance Benefits: ProSidian partners with BC/BS, to offer a range of medical plans. 401(k) Retirement Savings Plan: 401(k) Retirement Savings Plans help you save for your retirement. Vacation and Paid Time-Off (PTO) Benefits: Eligible employees use PTO for vacation. Pre-Tax Payment Programs: Pre-Tax Payment Programs currently exist in the form of a Premium Only Plan (POP). Purchasing Discounts & Savings Plans: We want you to achieve financial success. Security Clearance: Due to the nature of our consulting engagements there are Security Clearance requirements. ProSidian Employee & Contractor Referral Bonus Program: ProSidian Consulting will pay up to 5k for all referrals employed for 90 days. Performance Incentives: Due to the nature of our consulting engagements there are performance incentives associated with each new client. Flexible Spending Account: FSAs help you pay for eligible out-of-pocket health care expenses. Short- and Long-Term Disability Insurance: Disability insurance plans are designed to provide income protection. ADDITIONAL INFORMATION - See Below Instructions On The Best Way To Apply ProSidian Consulting is an equal opportunity employer and considers qualified applicants for employment without regard to protected factors. ProSidian Consulting has made a pledge to the Hiring Our Heroes Program. All applicants are encouraged to apply regardless of Veteran Status. Furthermore, we believe in HONOR ABOVE ALL - be successful while doing things the right way. FOR EASY APPLICATION USE OUR CAREER SITE LOCATED ON http://www.ProSidian.com/ OR SEND YOUR RESUME’S, BIOS, AND SALARY EXPECTATION / RATES TO CAREERS @ PROSIDIAN.COM. ONLY CANDIDATES WITH REQUIRED CRITERIA ARE CONSIDERED. #J-18808-Ljbffr