Medical Director Opportunity - Medicare Risk Adjustment HCC Review - Puerto Rico (Option to be Florida Based)!!
Option to either live in Puerto Rico or Florida...
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.
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:
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.
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