ColumbusRecruiter Since 2001
the smart solution for Columbus jobs

Medical Director Opportunity - Medicare Risk Adjustment HCC Review - C

Company: DOCTORS CHOICE PLACEMENT SERVICES, INC.
Location: Columbus
Posted on: October 19, 2020

Job Description:

Medical Director Opportunity - Medicare Risk Adjustment HCC Review - Columbus, Ohio!! Full-Time Opportunity, M-F 8am - 5pm type hours Seeking Board Certified Internal Medicine or Family Medicine Physician The physician will perform chart reviews, provider education as well as staff education. Competitive Salary Full Benefits Package includes: Health Insurance (BCBS), PTO, Holidays, Life Insurance, Disability, IRA with matching (3%), Cell phone reimbursement, Car mileage reimbursement and more. More information is below! JOB DESCRIPTION Medical Director ROLE: The Medical Director reviews outpatient/inpatient medical records for proper documentation relevant to Medicare Risk Adjustment reimbursement payment system. REPORTS TO: Chief Medical Officer MAJOR JOB DUTIES: Duties include, but are not limited, to the following: Conducts on-site or desktop medical record reviews in tandem with a certified professional coder at provider locations or at company's offices Facilitates query process to improve clinical documentation to support appropriate reimbursement for the level of service rendered to all patients with (Medicare Advantage) Educates physicians on clinical documentation opportunities as well as performance improvement methodologies Maintains thorough and current knowledge of clinical care and treatment of assigned patient populations to critically assess appropriateness of documentation Receives, reviews, verifies, and processes requests for medical record audits, including but not limited to, inpatient hospitalizations, diagnostic testing, outpatient procedures and services, home health care services, durable medical equipment, rehabilitative therapies, and pharmacy reviews from finance and/or claims Provides clinical interpretation and guidance to fellow clinicians and internal staff. Advises manager of possible trends in inappropriate utilization (under and/or over), and other quality of care issues. Develops and ensures compliance with policies, procedures, bylaws, regulatory requirements, and best practice guidelines. Review of quantitative and qualitative data in developing plans to achieve goals. Performs other work related duties and responsibilities as directed, assigned or requested. JOB DESCRIPTION SKILLS: Demonstrates knowledge of documentation opportunities and clinical documentation requirements. Excellent interpersonal and communication skills Solid time management skills, including the ability to manage multiple activities and competing priorities Identifies new innovations to streamline procedures and implements technologies to improve efficiency to ensure high standards of care Exceptional writing skills and computer proficiency (especially MS Excel) Evidence of completion of formal course in coding principles or equivalent program that includes knowledge of ICD-9 CM coding systems preferred EXPERIENCE: --- Minimum five (5) years practice experience --- Medicare Advantage revenue experience strongly preferred --- Health care practice experience providing services to Medicare Advantage and Medicaid patients. --- Significant experience with exposure to the Managed Care environment EDUCATION: --- Medical Doctor Degree or Doctor of Osteopathic Medicine --- Advanced degree such as MBA, MHA, MPH or MMM preferred but NOT required CERTIFICATE/LICENSE: --- Board certified in Internal Medicine or Family Medicine (with or without subspecialty boards) --- Retired or Licensed/Unlicensed PHYSICAL, ENVIRONMENTAL & OTHER REQUIREMENTS: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Work is performed in an office or medical clinic environment. Must be tolerant to varying conditions of noise level, temperature, illumination and air quality. The noise level in the work environment is usually moderate. Contact with executives, doctors, clinic staff, and other employees is necessary. Requires standing and mobility. Requires bending and reaching. Requires transporting, pushing, pulling, and maneuvering items weighing up to 25 lbs. Requires eye/hand coordination. Requires use of standard office equipment. Requires basic math. Ability to push and/or pull file cabinet drawers weighing up to 5 lbs. Requires the ability to distinguish letters, numbers and symbols. Ability to and comply with Policies and Procedures, Job Description, daily memorandums, chemical labels (MSDS) and other instructions. Keyphrases: family medicine jobs, family practice jobs, family practitioner jobs, family medicine specialist jobs

Keywords: DOCTORS CHOICE PLACEMENT SERVICES, INC., Columbus , Medical Director Opportunity - Medicare Risk Adjustment HCC Review - C, Executive , Columbus, Ohio

Click here to apply!

Didn't find what you're looking for? Search again!

I'm looking for
in category
within


Other Executive Jobs


Maintenance Facility Manager
Description: br br br br -- br br Send me alerts every days br br alert frequency in every certain days br br br br br Share this Job br br br br AddThis br br Email br br (more...)
Company: Essilor
Location: Columbus
Posted on: 10/22/2020

RN, Care Manager - No Call, Holidays or Weekends Required!
Description: All clinical positions are located onsite in our offices in Columbus As a Case Manager you are a key member of a cross-functional team driven by their mutual devotion to serve others. Your members (more...)
Company: Quantum Health
Location: Columbus
Posted on: 10/22/2020

Medical Director Opportunity near Columbus, OH (Physician #)
Description: Medical Director Opportunity near Columbus, OH Advance your leadership career as a medical director at a post-acute practice near Columbus, Ohio
Company: HDA MD Staff
Location: Columbus
Posted on: 10/22/2020


Visual Merchandiser
Description: Adecco Creative Marketing is assisting a major fashion retailer in their search for a Visual Merchandiser The Visual Merchandiser job is based in Columbus,
Company:
Location: Columbus
Posted on: 10/22/2020

Hourly Restaurant Assistant Manager
Description: Job DescriptionRed Robin is taking extra measures to keep our Team Members safe during this time. We have enhanced our cleaning and disinfectant standards Our restaurants are extra squeaky clean , practice (more...)
Company: Red Robin
Location: Columbus
Posted on: 10/22/2020

Telecommute Software Risk and Compliance Customer Success Manager
Description: A software company is searching for a person to fill their position for a Telecommute Software Risk and Compliance
Company: VirtualVocations
Location: Canton
Posted on: 10/22/2020

2nd shift Forklift
Description: Title: Warehouse - Forklift Operator br br Adecco is assisting a local client recruiting for a current Warehouse - Forklift Operator job in Beavercreek, OH This is a long-term temporary opportunity. (more...)
Company:
Location: Dayton
Posted on: 10/22/2020

Hourly Restaurant Manager
Description: Job DescriptionRed Robin is taking extra measures to keep our Team Members safe during this time. We have enhanced our cleaning and disinfectant standards Our restaurants are extra squeaky clean , practice (more...)
Company: Red Robin
Location: Columbus
Posted on: 10/22/2020

Construction Services Manager - (206.1)
Description: Job Title: Construction Services Manager - 206.1 Organizational Unit: Construction Services - CS 00.09X.090 Location: Canton, OH, US 44702 Job Type: Full-timeExemption Type: Non-ExemptEducation: High (more...)
Company: The Thrasher Group, Inc.
Location: Canton
Posted on: 10/22/2020

Regional Sales Manager - Own a Franchise
Description: Own A Franchise40 BUSINESS CATEGORIESPROVEN BUSINESS MODELSFIND OUT HOW BUSINESSOWNERS CAN EARN MOREHave you ever thought about owning your own business If so, now is the perfect time to look into franchise (more...)
Company: WilliamsonHeckt
Location: Middletown
Posted on: 10/22/2020

Log In or Create An Account

Get the latest Ohio jobs by following @recnetOH on Twitter!

Columbus RSS job feeds