Reinforce compliance with organizational policies and payer requirements
Assist with implementation and standardization of clinical workflows
Monitor operational metrics such as visit volumes and documentation turnaround time
Support medical record request workflows
Collaborate with leadership on process improvement initiatives
Ensure alignment with regulatory and payer requirements
Act as liaison between providers, scribes, intake teams, and leadership
Facilitate resolution of operational issues
Participate in operational meetings and provide reporting insights
Honors patients’ rights to fair and equitable treatment, self-determination, individuality, privacy, property and civil rights.
Complies with the Corporate Compliance Program.
Reports job-related functions /tasks that involve occupational hazards including exposure to blood and body fluids and others as necessary.
Follows established safety regulations to include fire protection/prevention, smoking regulations, infection control, etc.
Complies with all Privacy and Security, Adverse Event Response, and Disaster Security and Business Recovery programs.
Promotes the image and reputation of the System by exhibiting servant leadership and providing direct and open lines of communication.
Contributes to the work of committees, workgroups, project management, and other collaborative efforts of the System.
Performs other duties as necessary to ensure the success of the System.
SKILLS AND ABILITIES
Knowledge and compliance with rules and regulations governing medical care and payment for medical services.
Knowledge and compliance with the procedural guidelines for the organization and its health service locations.
Knowledge of federal and state health services regulations, value based care and standards emanating from Medicare and Medicaid, third party payers, and other external agencies and businesses.
Knowledge and reasonable experience in establishing and/or developing productive relationships with physician groups, third party payers, employers, and other healthcare entities such as HMOs, PPOs, PHOs, and community clinics.
Knowledge of care transitions/ case management/resource utilization programs, evidenced based treatment protocols, and other initiatives used to improve physician and health service performance within a market.
Good understanding of physician incentives and compensation methods, preferably with a record of accomplishment of building physician support.
Understanding of the approaches and methods of process improvement, including planning, setting priorities, systematic performance assessment, implementation, and ongoing monitoring to continue improvement.
Strong organizational and coordination skills
Knowledge of clinical documentation workflows and EHR systems
Ability to manage multiple priorities
Data-driven mindset
MINIMUM QUALIFICATIONS
Valid Georgia Driver’s license
Bachelor’s degree required
3-5 years practice management experience
EEO / M / F / D / V / Drug Free Workplace
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