Associate Director Practice Management, Jackson Medical Group Physician Practices, Full time, Days

Department: Jackson Medical Group (JMG) Physician Practices

Address: Variable practice sites

Hours: 8:30AM-5:00PM, M-F

Position Summary: 
The Associate Director, Practice Management responsibilities include oversight of the organizational and governance infrastructure of the assigned Jackson Medical Group (JMG) physician practices territory. The JMG practice responsibilities may include practices made up of Jackson Health System (JHS) employed physicians. With the direction and supervision of the Director, Practice Management, the Associate Director provides planning and maintenance of the on-site operations of the assigned practices within assigned territory, including, but not limited to, supervision of Practice Managers, practice work-flow, coordination of coding/billing/reconciliation processes, and staff/physicians relations. With direction of Physician Services administration, coordinates new practice start-ups within assigned territory. Within assigned territory, has responsibility for implementation of JMG/JHS risk management policies, training & education programs to ensure best-practice compliance.

Duties & Responsibilities:

• Development in collaboration with Jackson Health System senior management an alignment strategy for JHS owed and affiliated practices that provides for physician participation in the governance, management and budgeting of those practices. Creates new physician practices. Directs, organizes and arranges for all activities, services, human resources and materials required to create and open a new practice.
• Obtains all required tax-id and billing numbers in advance. Develops and recommends clinical processes, programs and services that enhance safety, quality, efficiency, and regulatory compliance to promote excellent service. Monitors patient flow through the practices to ensure appropriate utilization of physician time and staff coverage.
• Prepares comparative analysis of practice data to industry standards including revenue, expenses, physician productivity, staffing patterns and scheduling patterns. Reviews charges, visit encounters and cash receipts for variations and patterns and conducts spot audits to ensure compliance. Accountable for ensuring physician billing and collection activities meet all compliance standards, including CPT -4 and ICD-9 coding. Must have a working knowledge of auditing and accuracy of documentation in relation to procedure coding.
• Meets no less than quarterly with each physician group to review productivity and quality indicators, as well as the financial performance and operational effectiveness of the practice. Role models behaviors of service excellence and CARE values (Compassion, Accountability, Respect and Expertise).
• The leader understands and adheres to JHS compliance standards as they appear in the Code of Conduct, Compliance Policies, and all other JHS Policies and Procedures and supports the commitment of JHS in adhering to federal, state and local laws, rules and regulations governing ethical business practices for health care providers by demonstrating knowledge of procedures for protecting and maintaining security, confidentiality and integrity of employee, patient, family and organization information.
• The leader further understands that JHS is committed to its role in preventing health care fraud and abuse and complying with applicable state and federal laws related to health care fraud and abuse. This commitment is supported and enabled through an anonymous hotline which serves as one of several mechanisms for reporting suspected fraud, waste and/or abuse, as well as other compliance related issues. The leader to report through any of the reporting mechanisms (e.g., anonymous hotline, supervisor, Compliance Officer) any suspected health care fraud, waste and/or abuse as well as other compliance? Related issues. Performs all other related job duties as assigned.