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Accuity
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1 - 25 Results of 37
Accuity
US Remote, United States
(remote)
Spotlight Preferred Member Company
8 days ago
Job Type
Full-Time
Job Duration
Indefinite
Work Setting
Min Experience
5-7
Min Education
Bachelors
Required Travel
0-10%
Career Level
Experienced (non-Manager)
Required Credentials
None
Salary - Type
Yearly Salary

Description

Description

The Medical Director, working together with a coder (DRG Integrity Specialist), will review inpatient charts to ensure the acuity and complexity of the patient’s hospital stay is appropriately captured in the clinical documentation and translated into coding. The Medical Director is responsible for capturing the true clinical picture in a manner compliant with federal laws and the healthcare organization’s information privacy practices through identification of coding and physician query opportunities. The Medical Director is responsible for overseeing every chart assigned to their team.

The Medical Director works with the DRG Integrity Specialist to confirm the principal diagnosis and the appropriate Diagnosis Related Group (DRG) of every case in compliance with coding guidelines. This process also involves the Medical Director confirming procedures, dates, and complication or comorbidity (CC) or major complication or comorbidity (MCC) when used as a secondary diagnosis. 

The Medical Director validates clinical indicators for coded diagnoses, capturing the patient’s condition and ensuring the accuracy of the severity of illness and risk of mortality for the patient to illustrate the true clinical picture of the episode of care.

PRIMARY JOB RESPONSIBILITIES:

  • Provide clinical leadership in an inter-disciplinary team in a professional, knowledgeable, and efficient manner to drive client results, exceed client expectations, and foster client confidence
  • Maintain a functional and collaborative relationship with the DRG Integrity Specialist to achieve shared company goals
  • Comply with medical and federal guidelines at all times
  • Resolve conflicts quickly and professionally
  • Stays up to date with medical guidelines, advancements within his or her field, and client-specific criteria
  • Responsible for the quality of their teams work by developing and implementing strategic goals related to quality improvement within the tower
  • Responsible for generating compliant queries based on appropriate clinical indicators for each diagnosis. Every query must meet all regulatory and reporting requirements
  • Work with their manager to review tower analytics, identifying trends and actionable steps to improve opportunity capture rate and drive results for clients
  • Work with Senior Management and Compliance Officer to adhere to organizational goals and mission
  • Participate in corporate educational activities
  • Utilize all technology, tools and resources to enhance performance and will be proficient in navigation of various electronic medical records
  • Excel in a fast-paced, rapidly changing environment
  • Exceed expectations in performance with regard to productivity and quality of his/her tower work, professionalism, and professional growth
  • Take on additional responsibilities and demonstrate leadership at a departmental level


Requirements

POSITION QUALIFICATIONS:

Education:

  • Graduate from an accredited medical school 
  • Preferred completion of an ACGME accredited US residency program

Experience:

  • Minimum of a total of 5 years of clinical experience including residency

Knowledge, Skills, and Abilities:

  • Academic Excellence
  • Leadership
  • Service, compassion, and humanism
  • Diversity
  • Ability to work as part of a team
  • Basic Microsoft Office skills
  • Ability to use a PC in a Windows environment, including MS Word, Excel and PowerPoint
  • Independent, focused individual able to work remotely or on-site
Job ID: 72401002
Hospital
Mount Laurel , NJ , US
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Accuity is committed to focusing on the goals, needs, and processes of the health systems we serve. Accuity’s mission is to bolster health systems’ impact on their communities by optimizing their financial results through a complete and compliant physician-led capture of the clinical record. As an added value of our partnership, hospitals experience better educated and engaged physicians and improved quality measures.

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