Remote Optum Hcc Coding Jobs in Philadelphia, PA

Job Details
Virtual Primary Care/Supplemental Access Provider
Job Description
Responsibilities:
The Virtual Primary Care Family Medicine Physician (MD or DO) provides comprehensive primary care to new and established patients for Jefferson Health via telehealth platform*. This service will expand Jefferson Health primary care services to new and existing markets. S/he collaborates with, and is an integral member of, a multidisciplinary health care team. Patients may utilize Virtual Primary Care for continued primary care services or as a transition point when waiting for a new or established appointment in their preferred Jefferson primary care location ("Supplemental Access"). The Virtual Primary Care Physician will work in conjunction with the population health team to address care gaps and provide equitable, value-based care.
*Please note that while this position is remote, there is a strong preference for candidates who reside in PA, NJ or DE.
Overview:

• Assessment/Diagnosis and Management of Patients in Primary Care Setting
• Provides patient-centered, preventive health, including well visits, screenings, and immunizations recommendations; as well as acute and complex care visits requiring diagnosis, treatment/management
• Collaborates with interdisciplinary health care team.
• Possesses awareness and provides assessment of patient risk factors, including physical, socioeconomic, and psychosocial risk factors.
• Obtains and documents thorough patient history.
• Performs and documents physical exam within the limits of telehealth.
• Orders, performs, and interprets appropriate diagnostic testing, and responds to results requiring further evaluation or investigation.
• Formulates differential diagnoses by priority.
• Engages/Collaborates with collaborative physicians when needed (i.e. diagnosis in question, patient not responding to treatment, etc.).
• Coordinates with and refers to specialists and/or a higher level of care as needed.
• Complete professional billing in timely and accurate manner, in compliance with regulations.

Formulates Plan of Care

• Identifies expected outcomes from diagnosis, and formulates and documents a plan of care to address preventive care, acute care, and chronic health care needs.
• Utilizes evidenced-based practice guidelines and protocols in an individualized, dynamic plan of care that can be applied across the continuum.
• Implements and modifies plan of care based on patient response, diagnostic testing, and specialist recommendations.
• Prescribes diagnostic strategies and therapeutic interventions (as above).

Documentation

• Telehealth visits are documented in EPIC system using SOAP format.
• Provides timely documentation in Epic; meets compliance standards; and captures patient history, presenting problem, physical exam within limits of virtual care, diagnosis(es) and treatment/plan of care.
• Signs/closes visit notes within 24 hours of the patient encounter.

Other Responsibilities

• Reviews results of diagnostic studies in a timely manner, and communicates follow-up plan to the patient
• Reviews and addresses telephone and Epic portal messages (In-Basket)
• Reviews specialist consults, recent inpatient summaries, or other patient information copied from other providers
• Provides In-Basket coverage as needed when other providers are out-of-office

Communication and Collaboration

• Maintains ongoing communication and collaboration with office staff and interdisciplinary health care team.
• Facilitates and communicates with patients, patient care team, and staff
• Report compliance concerns or patient safety issues/events.

Quality and Productivity

• Engages with population health team to improve patient access and outcomes.
• Engages in HCC coding
• Engages in BPAs to address care gaps, value-based care metrics
• Aims to meet annual quality metric goals as defined by Jefferson Medical Group.
• Meets target productivity, measured by work RVUs (relative volume units)

Professional Practice

• Demonstrates Professional Practice behaviors
• May seek opportunities for active engagement in research and the analysis of evidenced based practice.
• Completes annual required health system learning activities
• Attends specialty-specific meetings and encouraged to attend Advanced Practice Grand Rounds (monthly)
• Maintains national board certification, state licensure and required continuing education, and membership in a professional organization as appropriate
• Shares telephonic on-call responsibilities with practice team

Qualifications

• Qualified applicants will hold a MD or DO degree, or equivalent
• Board certified, or eligible, in Family Medicine or Internal Medicine.
• 3+ years of primary care experience
• Licensure in both PA and NJ required, or ability to obtain by start date
• Demonstrated commitment to health equity, to excellence in care including for medically and socially vulnerable populations, and to optimal patient experience
• Candidates from backgrounds under-represented in medicine strongly encouraged to apply

Jefferson offers competitive salaries and comprehensive benefit package.
Interested candidates may submit CV to Chandler.Clemens@jefferson.edu. For additional information on Jefferson, visit www.jefferson.edu.
Jefferson values diversity and encourages applications from women, members of minority groups, LGBTQ individuals, disabled individuals and veterans.
Work Shift
Workday Day (United States of America)
Worker Sub Type
Regular
Employee Entity
Methodist Associates in Healthcare, Inc. (d/b/a Jefferson Community Physicians)
Primary Location Address
1101 Market, Philadelphia, Pennsylvania, United States of America
Nationally ranked, Jefferson, which is principally located in the greater Philadelphia region, Lehigh Valley and Northeastern Pennsylvania and southern New Jersey, is reimagining health care and higher education to create unparalleled value. Jefferson is more than 65,000 people strong, dedicated to providing the highest-quality, compassionate clinical care for patients; making our communities healthier and stronger; preparing tomorrow's professional leaders for 21st-century careers; and creating new knowledge through basic/programmatic, clinical and applied research. Thomas Jefferson University, home of Sidney Kimmel Medical College, Jefferson College of Nursing, and the Kanbar College of Design, Engineering and Commerce, dates back to 1824 and today comprises 10 colleges and three schools offering 200+ undergraduate and graduate programs to more than 8,300 students. Jefferson Health, nationally ranked as one of the top 15 not-for-profit health care systems in the country and the largest provider in the Philadelphia and Lehigh Valley areas, serves patients through millions of encounters each year at 32 hospitals campuses and more than 700 outpatient and urgent care locations throughout the region. Jefferson Health Plans is a not-for-profit managed health care organization providing a broad range of health coverage options in Pennsylvania and New Jersey for more than 35 years.
Jefferson is committed to providing equal educational and employment opportunities for all persons without regard to age, race, color, religion, creed, sexual orientation, gender, gender identity, marital status, pregnancy, national origin, ancestry, citizenship, military status, veteran status, handicap or disability or any other protected group or status.
Benefits
Jefferson offers a comprehensive package of benefits for full-time and part-time colleagues, including medical (including prescription), supplemental insurance, dental, vision, life and AD&D insurance, short- and long-term disability, flexible spending accounts, retirement plans, tuition assistance, as well as voluntary benefits, which provide colleagues with access to group rates on insurance and discounts. Colleagues have access to tuition discounts at Thomas Jefferson University after one year of full time service or two years of part time service. All colleagues, including those who work less than part-time (including per diem colleagues, adjunct faculty, and Jeff Temps), have access to medical (including prescription) insurance.
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