Vice President Hcc Risk Adjustment Coder Jobs in Kentucky

Welcome to Flaget Memorial Hospital, a 52-bed facility located in Bardstown, Kentucky. Founded in 1951 by the Sisters of Charity of Nazareth, Flaget Memorial Hospital is recognized as a 2023 Best Place to Work in Kentucky.  CHI Saint Joseph Health is part of CommonSpirit Health, a non-prot, Catholic health system dedicated to advancing health for all people. With approximately 175,000 team members and 25,000 physicians and advanced practice clinicians. Our commitment to serve the common good is delivered through the dedicated work of thousands of physicians, advanced practice clinicians, nurses, and staff; through clinical excellence delivered across a system of 140 hospitals and more than 2,200 care centers serving 24 states.

The Vice President of Medical Affairs is a member of the senior executive team that has oversight of medical care provided in the institution. The VPMA works closely with the senior nursing executive in other areas of clinical care delivery and advises the President in areas of medical staff relations and clinical strategy.

Essential Functions:

• Create an excellent patient experience.
• Lead in the development and functioning of systems that maximize the quality of care in the hospital and the ambulatory environment.
• Be a primary driver in local patient safety programs as well as those adopted by CHI, all of which enhance the development of a highly-reliable organization.
• Support the market quality and safety plan.
• Create frameworks that integrate the various aspects of delivery of care, both within the hospital and across the care continuum.
• Ensure that methods of delivering medical care are effective in meeting the needs of the patient. Lead efforts in maximizing the satisfaction of patients as measured through various survey instruments.

Oversee and facilitate medical staff functions.

• Credentialing Peer review Adherence to bylaws Continuing medical education.
• Liaison between medical staff and the organization as a whole.

Operations management

• Support and enhance efforts to promote the flow of patients through the organization.
• Provide direct responsibility for other positions as assigned.
• Recommend changes in organizational arrangements which better facilitate the achievement of organizational objectives. 
• Ensure compliance with all applicable regulation and accreditation requirements.
• Maintain familiarity with relevant health care laws and concepts (e.g. Stark law, federal anti-kickback statutes, and fair-market valuation) and support systems that lead to adherence.

Leadership development

• Identify and nurture future physician leaders to ensure sustainable delivery of quality care by the organization.
• Foster an environment which respects human dignity, protects human rights, and promotes human development to actualize the values and philosophy of Commonspirit Health.

Strategic management

• Create a working environment that maximizes physician satisfaction, as measured by survey instruments.
• Support standardization across the market where appropriate and relevant.
• Support the implementation of information technology to deliver added value and assure that implementation is accomplished for patient safety, excellent outcomes, and for acceptance by both professional and support staff.
• Develop relationships with payers that supports the maximization of reimbursement, either value-based or volume-based as appropriate. Foster development of systems that support value-based reimbursement over fee-for-service reimbursement.
• Maintain effective communication, either verbal or written, that enhances the alignment of key stakeholder groups.

Performance management

• Maintain a strong working understanding of metrics and medical analytics.
• Understand the relationship between physician documentation and the final coding of the patient’s diagnoses upon discharge.

Required:

• Doctor of Osteopathy or Doctor of Medicine
• 10+ years Minimum of clinical and/or administrative experience
• 1-3 years with at least 2 years’ experience as a Chief Medical Officer or Vice President of Medical Affairs in an acute care hospital
• Experience with quality and safety initiatives and process improvement
• Experience working with physicians to create new structural alignment within an established organization
• Experience working with an electronic medical record and other information technology and systems that support clinical integration
• Doctor of Medicine: KY (MD:KY)
• Basic Life Support - CPR (BLS-CPR)
• Advanced Cardiac Life Support (ACLS) N/A within 6 - months Required