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: November 22, 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


Assistant Salon Manager (License Required) - Polaris Towne Centre
Description: Assistant Salon ManagerGot shears and a winning attitude Have a yearning to earn and a desire to support other stylists Then let's talk Maybe you're a stylist who wants more responsibility,
Company: Great Clips
Location: Columbus
Posted on: 11/30/2020

Assistant Manager $11.00-$15.00/hour (2213)
Description: 0.4 Assistant Manager 11.00- 15.00/hour--ABOUT THE JOBYou were born to be the boss. We know. You get up in the morning and you make sure everyone else in the house is doing what they need to do. Then (more...)
Company: Domino's
Location: Newark
Posted on: 11/30/2020

Plant Manager
Description: We have a vacancy for a dynamic, self-motivated, team-player for the position of Plant Manager, Richmond IN. The Plant Manager will play a vital role in leading a culture of innovation and industry leading (more...)
Company: PTC Alliance
Location: Dayton
Posted on: 11/30/2020


Columbus, OH area Pain Management Clinic!!
Description: Pain Management opening in Columbus, Ohio. This and other physician jobs brought to you by DocCafe.com Columbus, OH area Pain Management Clinic Seeking Candidates trained in: Internal Medicine, Occupational
Company: DOCTORS CHOICE PLACEMENT SERVICES, INC.
Location: Columbus
Posted on: 11/30/2020

Inventory Management Specialist (Expendable)
Description: VideosVideos DutiesHelpDutiesSummaryThis position serves as an Inventory Manager in the Commodity Management Division of the Logistics Service in the VA Health Care System responsible for the inventory (more...)
Company: Department of Veterans Affairs
Location: Columbus
Posted on: 11/30/2020

VP, Engineering, Payment Integrity
Description: Transforming the future of healthcare isn't something we take lightly. It takes teams of the best and the brightest, working together to make an impact.As one of the largest healthcare technology companies (more...)
Company: Change Healthcare
Location: Mansfield
Posted on: 11/30/2020

Senior Project Management Business Analyst / Secret / Interim Secret
Description: Discover careers that change the world and further advancements in defense, technology, and engineering today at Northrop Grumman. Use your experience to grow your career and support our global customers (more...)
Company: Northrop Grumman
Location: Dayton
Posted on: 11/30/2020

Assistant Salon Manager (License Required) - Village Green
Description: Assistant Salon ManagerGot shears and a winning attitude Have a yearning to earn and a desire to support other stylists Then let's talk Maybe you're a stylist who wants more responsibility,
Company: Great Clips
Location: Fairfield
Posted on: 11/30/2020

General Manager $42,500-$54600 per year (2213)
Description: General Manager 42,500- 54600 per year Summary Full-time position only full-time employees eligible This job cannot be performed remotelyReport to a specific addressMust have a valid driver's licenseMust (more...)
Company: Domino's
Location: Newark
Posted on: 11/30/2020

Assistant Salon Manager (License Required) - Hamilton Quarters
Description: Assistant Salon ManagerGot shears and a winning attitude Have a yearning to earn and a desire to support other stylists Then let's talk Maybe you're a stylist who wants more responsibility,
Company: Great Clips
Location: Columbus
Posted on: 11/30/2020

Log In or Create An Account

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

Columbus RSS job feeds