Medical Director

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.

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
• 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
• Takes on additional responsibilities and demonstrates leadership at a departmental level

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

Physical Requirements

Physical effort and exposure to physical risk are limited to that of an office role / environment.