Medical Director of Coding and Care Coordination

Cambridge Health Alliance; Cambridge; On-site; GBP 70,000 - 110,000; Full time

Job summary

An established industry player in healthcare is seeking a Medical Director of Coding and Care Coordination. This pivotal role involves driving performance improvements in diagnosis coding and working collaboratively with clinical leadership to enhance patient care outcomes. The ideal candidate will possess extensive clinical experience, strong diagnostic skills, and a thorough understanding of coding practices. Join a dynamic team dedicated to providing exceptional care and making a meaningful impact in the community. This opportunity offers a blend of leadership and clinical responsibilities in a supportive environment focused on innovation and excellence.

Qualifications

• 5+ years of clinical experience in a leadership role.
• Strong understanding of diagnosis coding and documentation.

Responsibilities

• Drive performance improvement in diagnosis coding accuracy.
• Engage clinical leadership for performance improvement.
• Design initiatives to succeed in risk contracts.

Skills

diagnostic skills

leadership

team building

understanding of diagnosis coding

compliant documentation

HCC coding

HHS coding

risk adjustment models

Education

Licensed/Board Certified Physician

Physician Assistant

Job description

Cambridge Health Alliance (CHA) is a well-respected, nationally recognized and award-winning public healthcare system, which receives recognition for our clinical and academic innovations. Our system is comprised of three hospital campuses and an integrated network of both primary and specialty care practices in Cambridge, Somerville and Boston’s Metro North Region. CHA is an academic affiliate of both Harvard Medical School (HMS) and Tufts University School of Medicine. Our practices serve an ethnically and socio-economically diverse patient population.

CHA is recruiting for the Medical Director of Coding and Care Coordination. As an integral part of the Population Health Management leadership team, the Medical Director drives performance improvement as measured by completeness and accuracy of diagnosis coding across the members of all risk contract panels in addition to working clinically part-time.

Responsibilities:

• Work closely with primary care and specialty clinical leadership to accomplish outstanding outcomes to meet and exceed goals.
• Design and implement initiatives to achieve improved performance on completeness and accuracy of coding.
• Develop strategies to succeed in risk contracts and value-based care.
• Identify and drive organization and cultural changes needed to adapt strategically to changing market demands, technology and internal initiatives.
• Provide guidance and interpretation on issues of medical appropriateness related to diagnosis coding and documentation.
• Provide part-time clinical care.
• Engage and motivate clinical department leadership for performance improvement through coaching, skill building, and leadership.

Qualifications:

Ideal candidates will have 5+ years of clinical experience as a licensed/Board Certified Physician or Physician Assistant with one to two years in a clinical leadership role. Candidates should possess strong diagnostic skills, a thorough understanding of all aspects of diagnosis coding, compliant documentation, HCC and HHS coding and risk adjustment models. Proven ability in medical leadership possessing clinical credibility with peers and the ability to be a team player and team builder.

In keeping with federal, state and local laws, Cambridge Health Alliance (CHA) policy forbids employees and associates to discriminate against anyone based on race, religion, color, gender, age, marital status, national origin, sexual orientation, relationship identity or relationship structure, gender identity or expression, veteran status, disability or any other characteristic protected by law. We are committed to establishing and maintaining a workplace free of discrimination. We are fully committed to equal employment opportunity. We will not tolerate unlawful discrimination in the recruitment, hiring, termination, promotion, salary treatment or any other condition of employment or career development. Furthermore, we will not tolerate the use of discriminatory slurs, or other remarks, jokes or conduct, that in the judgment of CHA, encourage or permit an offensive or hostile work environment.

Contact Information:

Please visit www.CHAproviders.org to learn more and apply through our secure candidate portal. CVs may be sent directly to [e-mail]. CHA's Department of Provider Recruitment may be reached by phone at [phone].