Medical Coding Hcc Episource Jobs in Atlanta, GA

Job Description - Physician Practice Manager (2610321)

Description

The Practice Manager is responsible for operational leadership, performance management, and infrastructure oversight of the long-term care (LTC) physician and advanced practice provider (APP) group across Georgia.

This role ensures consistent clinical coverage, provider productivity, regulatory compliance, and alignment with facility operations and value-based care models, including Medicare Advantage and I SNP populations.

The Manager partners closely with Medical Directors and APPS and attends meetings with facility leadership and corporate stakeholders to drive quality outcomes, operational efficiency, and growth in the Georgia market.

• Oversee daily operations of physician and NP teams across Georgia facilities.
• Ensure consistent weekday clinical coverage.
• Manage scheduling and territory alignment, coverage gaps and contingency plans, and call-out response and escalation.

• Monitor and manage provider productivity benchmarks (encounters, efficiency), timeliness of rounding and documentation, and attendance and reliability.
• Implement performance improvement plans and coaching and corrective actions when necessary.

• Serve as liaison between Providers, Facility Administrators and DONs, and Corporate leadership.
• Resolve workflow inefficiencies, communication breakdowns, and operational escalation issues.

• Lead recruitment, onboarding, and retention strategies.
• Manage PTO, scheduling transitions, and provider performance issues.
• Ensure collaborative agreements are compliant with Georgia regulations, and credentialing and onboarding processes are completed.

• Partner with medical leadership to standardize documentation expectations and support appropriate coding (HCC/RAF).
• Identify variation in care processes involving falls management, rehospitalization trends, and psychotropic medication management.

• Drive performance on rehospitalization reduction, preventive care gap closure, and length of stay and utilization trends.
• Analyze and act on facility-level data and provider-level performance.

• Ensure adherence to CMS LTC requirements, Medicare Part B billing standards, and Georgia scope-of-practice regulations.
• Support Survey readiness and documentation defensibility.
• Partner with Physician Services leadership to support financial performance, provider productivity, and sustainable growth.
• Monitor provider productivity trends, encounter volume, documentation timeliness, and billing readiness to support accurate and timely revenue capture.
• Identify opportunities to improve provider deployment, facility coverage, and market expansion based on census, payer mix, facility needs, and value-based care priorities.
• Collaborate with billing, coding, credentialing, and operations teams to address workflow barriers that impact charge capture, documentation completion, or provider onboarding.
• Support growth initiatives related to new facility coverage, provider staffing models, and alignment with value-based care strategies.

• Operational leadership and accountability
• Multi-site provider management
• Conflict resolution and stakeholder communication
• Balancing clinical quality, regulatory compliance, and operational efficiency
• Experience with value-based care, TPAs, and Self-Funded Healthcare
• Strong technical aptitude including EMR, Matrix Care and complex spreadsheets
• Excellent project management skills
• Experience in public speaking

• Bachelor's degree in healthcare administration, business administration, nursing, or a related field required.
• Master’s degree in healthcare administration, business administration, nursing, or related field preferred.

• Physician (MD/DO), Nurse Practitioner, or Healthcare Executive (MBA/MHA preferred)
• 5+ years of experience in:
• Provider group operations
• Value-based care environments/models
• Strong knowledge of:
• Medicare Part B Billing

• No clinical license is required. If the selected candidate is a licensed clinician, the candidate must maintain an active, unrestricted license in the applicable state of practice and remain in good standing with all applicable licensing boards and regulatory agencies.

• Well-rounded and personable with the proven ability to drive productivity and exhibit credibility
• Foundational understanding of medical practice operation and billing documentation
• Six Sigma certification or other operational leadership certifications.

Family Makes Us Stronger. Our family, your family, one family. Committed to loving, giving, and caring. United in making a difference.

As an Equal Employment Opportunity employer, all qualified applicants will receive consideration without regard to race, color, religion, sex, national origin, disability, or veteran status.

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