Program Manager

Koniag Advisory Business Solutions LLC a Koniag Government Services company is seeking a Program Manager to support KABS and our government customer in Oklahoma OKC. This position requires the candidate to be able to obtain a Public offer competitive compensation and an extraordinary benefits package including health dental and vision insurance 401K with company matching flexible spending accounts paid holidays three weeks paid time off and Our Team Where Leadership Accountability and Results Matter. Koniag Advisory Business Solutions (KABS) is seeking an experienced highly organized and mission-focused Program Manager to lead a large-scale Indian Health Service coding and billing operation supporting hospitals and clinics across the Northern and Southern Tiers in Oklahoma. This role is central to reducing a substantial coding and billing backlog restoring compliance and currency maximizing collections and building a high-performing team capable of supporting future program is a hands-on leadership role for a professional who understands healthcare operations medical coding medical billing revenue cycle performance and client-facing program management. The Program Manager will oversee contract staff coordinate technical and operational performance engage directly with hospitals and clinics and serve as the primary point of accountability for schedule staffing service quality backlog reduction productivity and customer Program Manager is responsible for overall management coordination and performance of the IHS coding and billing contract supporting both Northern and Southern Tiers. The Program Manager leads the contract team manages operational execution monitors technical performance supports staffing and onboarding and ensures the contractor meets programmatic goals for timely coding billing backlog reduction productivity and position oversees the integrated performance of the coding and billing teams including the Coding Supervisor Coding Lead Coder III staff Billing Supervisor Billing Lead and Billing III staff. The Program Manager serves as the primary interface with Government leadership and ensures work is completed on time within scope and in accordance with contractual operational regulatory privacy and security Scope:The initial contract team is expected to include:One Program Team: Medical Records Technician - Biller V (Supervisor) Medical Records Technician - Biller IV (Lead) and Medical Records Technician - Biller Teams: Medical Records Technician - Coder V (Supervisor) Medical Records Technician - Coder IV (Lead) and Medical Records Technician - Coder III Schedule and Location:This position is based in Oklahoma City Oklahoma with regular on-site presence expected especially during startup onboarding customer meetings staff supervision and performance management activities. Work hours may flex based on operational and customer requirements. Travel to supported hospitals clinics or customer meetings will be Leadership and Contract Management:Lead the overall execution of the IHS coding and billing contract for both Northern and Southern as the primary point of contact for Government customers including Northern Tier and Southern Tier the contract meets programmatic goals related to backlog reduction coding throughput billing throughput timeliness compliance and and maintain the master program plan staffing plan workflow plan and performance monitoring and monitor schedule staffing pricing inputs and technical performance across all contract performance risks operational bottlenecks and staffing gaps and implement corrective actions internal status reviews and customer meetings and provide clear updates on progress challenges and mitigation contract administration activities including proposals contract modifications staffing changes preparing monthly reporting deliverables assist with internal accounting and operational planning as all work is performed in accordance with contract requirements applicable law IHS policy privacy standards and company Oversight:Direct and supervise all staff assigned to the day-to-day operations of both the coding and billing teams to ensure efficient workflows and balanced productivity against program expectations including coder throughput and biller staff are focused on high-value work including Medicare and Medicaid all-inclusive visit opportunities and other reimbursement-sensitive onboarding training telework approval recommendations leave coverage and staffing interviews participate in candidate selection and lead onboarding for new with team supervisors to establish priorities quality controls escalation pathways and standard operating hospitals and clinics receive responsive support and that operational issues are addressed quickly and and Stakeholder Engagement:Meet regularly with hospitals clinics Government representatives and internal leadership to review program performance and operational constructive working relationships with clinical billing coding HIM business office and administrative issue resolution involving documentation coding billing denials workflow barriers and backlog recurring trends root causes and recommended process improvements to Government and contractor strategic planning for possible expansion into larger billing teams and separate North and South coding Compliance and Performance Improvement:Establish and monitor performance metrics for coding accuracy billing timeliness denial trends backlog reduction productivity and supervisors and leads are conducting appropriate quality checks audits reporting and corrective action the program for compliance with billing coding documentation privacy and security continuous improvement in workflow design staff utilization and output all deliverables reports and customer responses are timely accurate and professionally and Resource Management:Support the coordination of program budgets labor planning and staffing allocation to ensure performance within contract with pricing labor mix reviews technical planning and financial condition monitoring related to contract with internal leadership on staffing levels labor utilization and operational ensure work is completed on time and within Qualifications:Bachelors degree in Healthcare Administration Health Information Management Business Administration Public Health Nursing or a related field; equivalent relevant experience may be or more years of progressive experience in healthcare program management operations management health information management revenue cycle medical coding medical billing or closely related healthcare contract or more years of supervisory or management experience leading multi-person experience managing healthcare operations involving coding billing claims reimbursement denials revenue cycle or medical records managing program schedules staffing workflow performance and customer-facing written and verbal communication skills including experience briefing leadership and organizational analytical and problem-solving to manage competing priorities in a deadline-driven high-volume Qualifications:Experience supporting the Indian Health Service or Tribal healthcare with RPMS or EHR and IHS billing and coding of Medicare and Medicaid all-inclusive visit billing outpatient and inpatient reimbursement and alternate resources of medical coding and billing standards including ICD-10 CPT HCPCS UB-04 CMS-1500 and payer reducing operational backlogs and standing up performance-driven RHIA RHIT CCS CPC CMRS or similar credential in federal contracting or managing healthcare services under a Government and Compliance Requirements:Must be able to obtain and maintain a favorable Tier II background investigation determination as required by successfully complete all required credentialing fingerprinting identity proofing badge and access comply with all IHS HHS facility and company requirements related to privacy confidentiality records management and protect PHI and other sensitive information in paper and electronic complete required HIPAA privacy and IT security training and maintain compliance immediately report suspected privacy breaches security incidents improper disclosures lost devices malware events or unauthorized Documentation and Pre-Employment Submission Requirements:Government-issued identity required for background investigation and verification and credential and prior address history as other materials required by IHS HHS or authorized security Equal Employment Opportunity PolicyThe company is an equal opportunity employer. The company shall not discriminate against any employee or applicant because of race color religion creed ethnicity sex sexual orientation gender or gender identity (except where gender is a bona fide occupational qualification) national origin or ancestry age disability citizenship military/veteran status marital status genetic information or any other characteristic protected by applicable federal state or local law. We are committed to equal employment opportunity in all decisions related to employment promotion wages benefits and all other privileges terms and conditions of company is dedicated to seeking all qualified applicants. If you require an accommodation to navigate or apply for a position on our website please get in touch with Heaven Wood via e-mail by calling to request Government Services (KGS) is an Alaska Native Owned corporation supporting the values and traditions of our native communities through an agile employee and corporate culture that delivers Enterprise Solutions Professional Services and Operational Management to Federal Government Agencies. As a wholly owned subsidiary of Koniag we apply our proven commercial solutions to a deep knowledge of Defense and Civilian missions to provide forward leaning technical professional and operational solutions. KGS enables successful mission outcomes for our customers through solution-oriented business partnerships and a commitment to exceptional service delivery. We ensure long-term success with a continuous improvement approach while balancing the collective interests of our customers employees and native communities. For more information please Opportunity Employer/Veterans/ Preference in accordance with Public Law 88-352