Chart Review Jobs in Colorado (NOW HIRING)

Physician VC3 (Virtual Care for Chronic Conditions)
Job Summary - In three or four sentences summarize the job's purpose and primary focus
The VC3 (Virtual Care for Chronic Conditions) Physician will work to ensure quality care for identified KPCO adult members by utilizing virtual visits through approved technologies to address chronic conditions and close care gaps in a patient centered manner. VC3 providers will support members who have unaddressed chronic conditions or open care gaps via the conduct of virtual wellness visits. Whenever possible, they will preview, update, and modify the health record in HealthConnect to optimize the chart for their virtual encounters and perform PC3 (Patient Centered Charting and Communication) chart reviews between virtual visits. The work completed by the VC3 Physicians will be monitored through proficiency metrics and chart audits to ensure quality of documentation. VC3 Physicians will report to the VC3 Physician Lead and then the Medical Director of Documentation Education.
Major Responsibilities/Essential Functions - In order of importance, list primary job responsibilities.
VC3 Physicians will:
o Conduct on-demand virtual visits for adult members in conjunction with existing Specialty Care encounters or when the patient is onsite for other care needs. They may also be scheduled for virtual visits in conjunction with the Wellness Care Team. As such, VC3 Physicians will be expected to be available during normal clinic hours Monday through Friday. Between VC3 virtual visits, chart reviews will be conducted to ensure completeness and accuracy of the medical record. These will be done according to PC3 Physician Reviewer standards. This dedicated FTE must be an increase over their currently benefitted FTE and may not exceed a total FTE of 1.0. Any request to decrease clinical FTE to take on this role would require approval by Primary Care leadership (clinic Medical Director).
o Be fluent with care gap closure and the T.O.F.U. (Treatment or Observation or Follow Up) supporting documentation standard and maintain T.O.F.U., Chronic Disease State Management (CDSM) address rates, and Care Gap closure statistics measured by the Provider Opportunity Report (POR) above the quality goals set by the organization. If VC3 Physicians are not meeting these expectations even after remediation and coaching, they will be released from the position. Documentation will be monitored by the Patient Centered Charting and Communication (PC3) team, the VC3 Physician Lead, and by the Medical Director of Documentation Education. In-person or virtual check-in meetings will occur on a regular basis to provide ongoing feedback.
o Be able to work in a fast-paced care setting requiring the ability to manage multiple competing demands, constantly re-prioritize, and succinctly communicate relevant information effectively to both patients and medical team members.
o Provide expert integrated care and diagnostic services in non-clinic setting, through the use of virtual and remote technologies.
o Work remotely as long as the remote internet connection is secure, and bandwidth is sufficient to manage the virtual appointments. When a remote connection is not sufficient, physicians will work from other KP facilities.
o Develop expertise in virtual platforms and standards for caring for our members remotely as well as Colorado's care venues and their respective capabilities.
o Work closely with Primary Care, Specialty Care, Message Management, and the Wellness Care Team to improve care coordination for our members.
o Perform PC3 chart reviews between virtual visits according to PC3 standards by reviewing multiple sections of the medical record and updating appropriately, using clinical judgement to add, resolve, delete chronic conditions from the Problem List and/or CDSM Best Practice Advisory (BPA), consolidate/refine diagnoses as needed, updating overview notes with relevant supporting clinical information, and prioritizing the Problem List according to PC3 guidelines.
o Maintain flexibility in staffing so as to ensure coverage for VC3 department, including working to arrange vacation/PTO in order to coordinate with other VC3 providers to maintain adequate coverage.
o Maintain an appropriate work from home environment including professional background, quiet space from which to work without distractions, and privacy to ensure patient confidentiality.
o Work effectively in an inter-disciplinary team collaborating with care teams to explore patient health conditions and diagnose health issues, while ensuring positive, effective patient experiences. They will maintain knowledge of cultural competency, particularly related to how variables related to socioeconomic status, race, ethnicity, and culture impact physical and emotional health.
o Analyze reports, test results, medical records, and examinations to diagnose conditions and propose treatment options as well as order appropriate laboratory and radiology tests, medications, or other treatments/referrals as needed for patient health issues and documented medical conditions.
o Review/update the medical record including current medications, allergies, medical/surgery history, etc. to ensure accuracy of information and provide quality patient care.
o Provide advice to patients for lifestyle and diet changes that may improve their health or help to treat the health issue they are experiencing.
o Adhere to departmental policies, procedures and objectives, ongoing quality improvement objectives and safety, environmental, and infection control standards.
o Maintain patient confidentiality and comply with all federal and state health information privacy laws.
o Record complete, timely electronic medical records that meet documentation and coding standards.
o Be available to work in at least half day increments (0.1 FTE) to ensure coverage in scheduling.
Job Qualifications
Candidates must meet Required qualifications. If Required qualifications are not met, the candidate will be disqualified from applying from the position. If Preferred qualifications are not met the candidate may still qualify for the position.
Required Minimum Education - minimum education or degree required
• MD or DO, IM residency accredited by ACGME.
• MD or DO, FM residency accredited by ACGME.
Preferred Education - education or degree preferred
N/A
Required Minimum Work Experience and Qualifications - years of job experience, skills or abilities required
• Proficiency in using KP HealthConnect.
• CDSM scores at or above the quality threshold goals for the last 4 weeks (i.e., 95% for well visits and 82% for acute visits for 2025), excluding TAV work or providers with no CDSM reporting (e.g., hospitalists).
• Routinely use the ambulatory instance of KPHC for clinical documentation.
• Be in good clinical standing with support from their local leader (Medical Director).
• Maintain good medical standing, active licensure, and board certification in their specialty.
• Colorado resident
Preferred Work Experience and Qualifications - years of job experience, skills or abilities preferred
• Currently work in one of the following settings: Outpatient Primary Care (adult, float, or continuity), Primary Care at Home, or Chat/Virtual Telephone Advice Visits.
• CDSM scores at or above the quality target goals for year to date (i.e., 97% for well visits and 85% for acute visits for 2024) excluding TAV work or providers with no CDSM reporting (e.g. hospitalists).
Required Licensure, Certification, Registration or Designation - Licensure or certifications required
• Colorado License, Board certification or eligible, DEA with Colorado address
Preferred Licensure, Certification, Registration or Designation - Licensure or certifications preferred
• N/A
Required Testing, IF applicable - MS Office Suite, typing test, etc required
• N/A
CPMG Core Competencies - ALL are required
Developing Trust
• Demonstrates transparency in decision making and applies rules and expectations consistently.
• Empowers others by giving autonomy on day-to-day execution of strategy.
• Leads by example by delivering on own commitments and managing operations efficiently.
• Trusts others to deliver on their commitments.
Defining Vision
• Gives others a voice by engaging the team in collaboratively defining strategies rather than imposing own agenda.
• Takes a big picture approach by considering future market factors for healthcare.
• Links the benefits of strategies to patient outcomes and organizational performance.
• Provides rationale for ideas to demonstrate feasibility and practicality.
• Breaks down silos to engage other departments and learn from their experiences to support problem solving.
Leading Teams
• Sets clear expectations with the team to give direction and establish metrics for success.
• Holds others accountable to mutually agreed upon goals and performance standards.
• Knows the diverse styles of individuals on the team and leverages strengths appropriately.
• Creates open lines of communication to share information and receive feedback.
• Maintains emotional poise and understands the emotional impact of decisions and actions on the team.
Leading Change
• Seizes opportunities to implement innovative ideas.
• Takes initiative to deliver results beyond the status quo.
• Adapts to changing circumstances by maintaining flexibility and quickly changing course.
• Demonstrates openness for taking appropriate risks to achieve results.
Disclaimer, Compliance and Service Language-Do Not Edit
DISCLAIMER: The above statements are intended to describe the general nature and level of work being performed by incumbents assigned to this job. This is not intended to be an exhaustive list of all the responsibilities, duties and skills required. The incumbent may be expected to perform other duties as assigned.
COMPLIANCE & INTEGRITY: Consistently supports compliance and the Principles of Responsibility (Kaiser Permanente's Code of Conduct) by maintaining the privacy and confidentiality of information, protecting the assets of the organization, acting with ethics and integrity, reporting non-compliance, and adhering to applicable federal, state and local laws and regulations, accreditation and licensure requirements (if applicable), and Kaiser Permanente's policies and procedures.
Models and reinforces ethical behavior in self and others in accordance to the Principles of Responsibility; adheres to organizational policies and guidelines; supports compliance initiatives; maintains confidences; admits mistakes; conducts business with honesty; shows consistency in words and actions; follows through on commitments.
All Directors, Managers and Supervisors are accountable for communication, implementation, enforcement, monitoring and oversight of compliance policies and practices in their departments.
SERVICE & QUALITY: In addition to defined technical requirements, accountable for consistently demonstrating service behaviors and principles defined by the Kaiser Permanente Service Quality Credo, the KP Mission as well as specific departmental/organizational initiatives. Also accountable for consistently demonstrating the knowledge, skills, abilities, and behaviors necessary to provide superior and culturally sensitive service to each other, to our members, and to purchasers, contracted providers and vendors.
Equal Opportunity Employer
This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.