Medical Director

3 weeks ago


Mount Laurel Township, United States Accuity Full time
Job Type Full-time Description

POSITION SUMMARY:

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
  • Performs miscellaneous job-related duties as assigned.


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

  • Medical Director

    3 weeks ago


    Mount Laurel, New Jersey, United States Accuity Full time

    Job Type Full-timeDescriptionPOSITION SUMMARY: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...

  • Director of Quality

    2 months ago


    Mount Laurel Township, United States Pinnacle Treatment Centers Full time

    Director of Quality - OTP Remote with travel to our NJ and eastern PA locations We offer competitive salary, full benefits package, Paid Time Off, and opportunities for professional growth. Pinnacle Treatment Centers is a growing leader in addiction treatment services. We provide care across the nation touching the lives of more than ,...


  • Mount Laurel Township, United States Serva Health LLC Full time

    Director of Marketing and Corporate DevelopmentFast-Growing Company is Seeking a Director of Marketing and Corporate DevelopmentAbout the Role: You will lead the strategic direction of the marketing department, overseeing all marketing initiatives and campaigns. You will be responsible for increasing brand awareness, driving growth, and ensuring consistent...


  • Mount Laurel Township, United States Association Headquarters Full time

    Association Headquarters is searching for a Director of Client Services and EngagementThe Client Services and Engagement Director has two primary responsibilities: 1) Responsible for leading and managing the assigned Account Executives to ensure the delivery of exceptional client services and engagement. As part of this, the Director will work closely with...


  • mount holly, United States ICON Medical Network Full time

    DocCafe has an immediate opening for the following position: Medical Director Physician in Mount Holly, New Jersey. DocCafe is the premier physician and advanced practice job board to help you advance your healthcare career. Register now to apply for this job and for access to 125,000+ other openings. DocCafe Offers: Free Physician and Advanced Practice Job...

  • Attending Physician

    2 months ago


    Bridgewater Township, United States Medical Director Services PC Full time

    Medical Director Services PC - Attending Physician (MD / DO)Medical Director Services PC is looking to hire an experienced Attending Physician (MD/DO) to service a skilled nursing facility in Bridgewater, NJ. The ideal candidate will have previous skilled nursing experience.Excellent salary will be offered, commensurate with experience.DUTIES:Assuring...

  • Medical Technologist

    3 weeks ago


    Mount Laurel, United States Ellipse Diagnostics Full time $65,000 - $79,000

    Job DescriptionJob DescriptionBenefits:401(k)401(k) matchingCompetitive salaryDental insuranceEmployee discountsFlexible scheduleHealth insurancePaid time offVision insuranceMedical Technologist, GeneralistWe are Looking for a Medical Technologist that has experience as a generalist. LCMS or PCR experience is a plus.About Ellipse Diagnostics:We are a...


  • Mount Laurel, United States Association Headquarters Full time

    Job DescriptionJob DescriptionAssociation Headquarters is searching for an Assistant Executive Director to support our valued client partner. The Assistant Executive Director serves as the primary support to the association's Executive Director and works closely with volunteers, account managers, and internal service department staff. The Assistant...

  • Nurse Practitioner

    2 months ago


    Bridgewater Township, United States Medical Director Services PC Full time

    Nurse Practitioner (NP)Medical Director Services PC is looking to hire an experienced Nurse Practitioner (NP) to service our skilled nursing facility in Bridgewater, NJ.New Grads Welcome!!Excellent salary will be offered, commensurate with experience.Provider Duties:Serves in the role of primary care provider to long and short term residents. Assessing...

  • State Director

    2 months ago


    Mount Laurel, United States Sevita Full time

    New Jersey Mentor, a part of the Sevita family, provides Residential and Treatment Foster Care services to youth who may be facing out-of-home placements, transitioning back into the family home or independent living alternatives, or involved in the juvenile justice system. Through our personalized programming, we help youth gain stability, comfort and...


  • Mount Laurel, United States Association Headquarters Full time

    Job DescriptionJob DescriptionAssociation Headquarters is searching for a Director of Client Services and EngagementThe Client Services and Engagement Director has two primary responsibilities: 1) Responsible for leading and managing the assigned Account Executives to ensure the delivery of exceptional client services and engagement. As part of this, the...


  • Mount Laurel, United States Serva Health LLC Full time

    Director of Marketing and Corporate DevelopmentFast-Growing Company is Seeking a Director of Marketing and Corporate DevelopmentAbout the Role: You will lead the strategic direction of the marketing department, overseeing all marketing initiatives and campaigns. You will be responsible for increasing brand awareness, driving growth, and ensuring consistent...


  • Laurel, United States Ambulatory Endoscopy Center of Maryland Full time

    We are currently searching for a Full Time Director of Nursing/Center Director to work Mondays – Fridays who can work cooperatively with staff and physicians and perform a variety of tasks. Major responsibilities include: Monitors operational activities for effective and efficient management of daily operations. Works collaboratively with Medical...


  • Mount Laurel Township, United States Accuity Full time

    Job Type Full-time Description At Accuity, the 'Tower' is comprised of a DRG Integrity Specialist (DI Specialist), who is responsible for auditing and correcting coding within a medical chart and a Medical Director (MD), who is responsible for the clinical accuracy of that chart.The Workforce Management Analyst will assist...


  • Mount Laurel, United States Association Headquarters Full time

    Job DescriptionJob DescriptionAssociation Headquarters is searching for a Director of Industry Relations and Case Management Education primary focus is to support the work of the CIRO with individuals and/or organizations that are interested in CCM® Certification, CDMS® Certification, and related support products and offerings through CCMC's broader...

  • Nurse Practitioner

    1 month ago


    Franklin Township, NJ, United States Medical Director Services PC Full time

    Nurse Practitioner (NP) Medical Director Services PC is looking to hire an experienced Nurse Practitioner (NP) to service a skilled nursing facility in Somerset, NJ. New Grads Welcome!! Excellent salary will be offered, commensurate with experience. Provider Duties: Serves in the role of primary care provider to long and short term residents....

  • Nurse Practitioner

    1 month ago


    Franklin Township, NJ, United States Medical Director Services PC Full time

    Nurse Practitioner (NP) Medical Director Services PC is looking to hire an experienced Nurse Practitioner (NP) to service a skilled nursing facility in Somerset, NJ. New Grads Welcome!! Excellent salary will be offered, commensurate with experience. Provider Duties: Serves in the role of primary care provider to long and short term residents....


  • Rocky Mount, United States Cambridge Medical Professionals Full time

    Medical Director needed: Psychiatrist needed for a busy growing practice in easternNorth Carolina 45 minutes from Raleigh. Employed with benefits and about 40% administrative work with the remainder being outpatient psychiatry. Call me today for more information! Contact Jay Eblen Ext. 1005 or E-mail


  • Mount Kisco, United States Northwell Health Full time

    Medical Director, Emergency Medicine Northern Westchester Hospital - Mt. Kisco, New York Northwell Health’s Department of Emergency Medicine is seeking a Medical Director. In this role, you’ll have complete operational and clinical oversight of the department. You’ll collaborate with our experienced service line leadership team in efforts such as...


  • Mount Laurel Township, United States Accuity Full time

    Job Type Full-time Description I. POSITION SUMMARY:The Senior Analyst will assist the Director of Implementation (DOI) and EVP Operations with coordination of activities associated with the onboarding and implementation of new client partnerships with Accuity. Provide a superior client implementation experience by...