Physician Advisor Services Operations Manager - Masco Corporation
Boston, MA
About the Job
Job Description:
The goal of the position is to act as a leader, applying specialized depth and breadth of expertise and solving complex problems in order to improve the accuracy of the overall clinical picture and the representation of the complexity and severity of illness of patients through improved clinical documentation and diagnostic coding practices.
1. Identify stakeholders and their objectives. Clarify work objectives and impact specific to clinical documentation systems, quality, continuous improvement, risk adjustment, analytics, compliance.
2. Performs a quantitative and qualitative review and analysis of health records and physician queries, both concurrently and retrospectively, to ensure documentation is accurate, consistent, complete and assigned codes can be supported by documentation. Conducts chart reviews based on DRGs and care site-specific trends to identify gaps in documentation and training opportunities.
3. Develop effective and logical work breakdown structure down task elements with specific accountability and timing noted for Physician Advisor Services. Utilizes analysis of a variety of data sets, dashboards and audits to assist in identifying gaps, root causes and solutions for leadership.
4. Acts as the subject matter expert and resource for the Clinical Documentation Specialists.
5. Provide regular feedback to team members and sponsors around performance against stated commitments for provider education. Maintains content, develops materials to distribute and presents content to team members.
6. Ensure that clarity exists within team around chart reviews and accountabilities for improvement in care site-specific trends.
7. Provides clinical subject matter expertise in reviewing cases identified through internal processes and proactively identifies potential risks to outcomes.
8. Analyzes data from multiple system sources to drive CDI program strategy through the identification of opportunity trends compared to benchmarks and key performance indicators. Presents quantitative and qualitative summaries of findings to key program stakeholders, physicians, and leadership. Communicates the plan so that alignment exists across stakeholders.
Minimum Requirements
+ Degree in a clinical field (e.g. RN, RRT, PT, OT, SLP, LCSW). Education must be obtained through an accredited institution. Degree will be verified.
AND
+ Five years of clinical experience in an adult acute care setting
OR
+ Three year of experience as a Clinical Documentation Improvement Specialist in an adult acute care setting.
Physical Requirements:
Location:
Key Bank Tower
Work City:
Salt Lake City
Work State:
Utah
Scheduled Weekly Hours:
40
The hourly range for this position is listed below. Actual hourly rate dependent upon experience.
$50.22 - $77.53
We care about your well-being – mind, body, and spirit – which is why we provide our caregivers a generous benefits package that covers a wide range of programs to foster a sustainable culture of wellness that encompasses living healthy, happy, secure, connected, and engaged.
Learn more about our comprehensive benefits packages for our Idaho, Nevada, and Utah based caregivers (https://intermountainhealthcare.org/careers/working-for-intermountain/employee-benefits/) , and for our Colorado, Montana, and Kansas based caregivers (http://www.sclhealthbenefits.org) ; and our commitment to diversity, equity, and inclusion (https://intermountainhealthcare.org/careers/working-for-intermountain/diversity/) .
Intermountain Health is an equal opportunity employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, sexual orientation, gender identity, national origin, disability or protected veteran status.
All positions subject to close without notice.
The goal of the position is to act as a leader, applying specialized depth and breadth of expertise and solving complex problems in order to improve the accuracy of the overall clinical picture and the representation of the complexity and severity of illness of patients through improved clinical documentation and diagnostic coding practices.
1. Identify stakeholders and their objectives. Clarify work objectives and impact specific to clinical documentation systems, quality, continuous improvement, risk adjustment, analytics, compliance.
2. Performs a quantitative and qualitative review and analysis of health records and physician queries, both concurrently and retrospectively, to ensure documentation is accurate, consistent, complete and assigned codes can be supported by documentation. Conducts chart reviews based on DRGs and care site-specific trends to identify gaps in documentation and training opportunities.
3. Develop effective and logical work breakdown structure down task elements with specific accountability and timing noted for Physician Advisor Services. Utilizes analysis of a variety of data sets, dashboards and audits to assist in identifying gaps, root causes and solutions for leadership.
4. Acts as the subject matter expert and resource for the Clinical Documentation Specialists.
5. Provide regular feedback to team members and sponsors around performance against stated commitments for provider education. Maintains content, develops materials to distribute and presents content to team members.
6. Ensure that clarity exists within team around chart reviews and accountabilities for improvement in care site-specific trends.
7. Provides clinical subject matter expertise in reviewing cases identified through internal processes and proactively identifies potential risks to outcomes.
8. Analyzes data from multiple system sources to drive CDI program strategy through the identification of opportunity trends compared to benchmarks and key performance indicators. Presents quantitative and qualitative summaries of findings to key program stakeholders, physicians, and leadership. Communicates the plan so that alignment exists across stakeholders.
Minimum Requirements
+ Degree in a clinical field (e.g. RN, RRT, PT, OT, SLP, LCSW). Education must be obtained through an accredited institution. Degree will be verified.
AND
+ Five years of clinical experience in an adult acute care setting
OR
+ Three year of experience as a Clinical Documentation Improvement Specialist in an adult acute care setting.
Physical Requirements:
Location:
Key Bank Tower
Work City:
Salt Lake City
Work State:
Utah
Scheduled Weekly Hours:
40
The hourly range for this position is listed below. Actual hourly rate dependent upon experience.
$50.22 - $77.53
We care about your well-being – mind, body, and spirit – which is why we provide our caregivers a generous benefits package that covers a wide range of programs to foster a sustainable culture of wellness that encompasses living healthy, happy, secure, connected, and engaged.
Learn more about our comprehensive benefits packages for our Idaho, Nevada, and Utah based caregivers (https://intermountainhealthcare.org/careers/working-for-intermountain/employee-benefits/) , and for our Colorado, Montana, and Kansas based caregivers (http://www.sclhealthbenefits.org) ; and our commitment to diversity, equity, and inclusion (https://intermountainhealthcare.org/careers/working-for-intermountain/diversity/) .
Intermountain Health is an equal opportunity employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, sexual orientation, gender identity, national origin, disability or protected veteran status.
All positions subject to close without notice.
Source : Masco Corporation