Medical Director

About the Company

Accuity was founded in 2016 with the goal of reinventing the Clinical Documentation Process through MD case review, and MD to MD education. Over the last six years, we have experienced rapid growth and are excited to continue in growing our team nationwide. Learn more about us at Accuity.com.

Job Description

The Medical Director is responsible for overseeing every chart that goes through the MD-Review Tower. This involves reviewing the medical chart with the DRG Coach to ensure an accurate representation of a patient's clinical status has been translated into coded data. The Medical Director is responsible for capturing the true clinical picture in a manner compliant with federal laws and the healthcare organization's information privacy practices through identification of coding and physician query opportunities.

The Medical Director works with the DRG Coach to confirm the principal diagnosis and the appropriate Diagnosis Related Group of every case in compliance with coding guidelines. This process also involves the Medical Director confirming procedures, dates, and a complication or comorbidity (CC) or a major complication or comorbidity (MCC) when used as a secondary diagnosis. The Medical Director validates clinical indicators for coded diagnoses, capturing the patient's condition and ensuring the accuracy of the severity of illness and risk of mortality for the patient to illustrate the true clinical picture of the episode of care.

Primary Responsibilities

• Provide clinical leadership in an inter-disciplinary team in a professional, knowledgeable, and efficient manner to drive client results, exceed client expectations, and foster client confidence
• Maintain a functional and collaborative relationship with the DRG Coding Auditor to achieve shared company goals
• Comply with medical and federal guidelines at all times
• Resolve conflicts quickly and professionally
• Stay up to date with medical guidelines, advancements within his or her field, and client-specific criteria
• Responsible for the quality of his/her tower's work by developing and implementing strategic goals related to quality improvement within the tower
• Responsible for generating compliant queries based on appropriate clinical indicators for each diagnosis. Every query must meet all regulatory and reporting requirements
• Work with his/her manager to review tower analytics, identifying trends and actionable steps to improve opportunity capture rate and drive results for clients
• Work with Senior Management and Compliance Officer to adhere to organizational goals and mission
• Participate in corporate educational activities
• Utilize all technology, tools, and resources to enhance performance and will be proficient in navigation of various electronic medical records
• Excel in a fast-paced, rapidly changing environment
• Meet expectations in performance regarding productivity and quality of his/her tower work, professionalism, and professional growth
• Perform miscellaneous job-related duties as assigned

Requirements

• Education: Graduate from an accredited medical school
• Preferred completion of an ACGME accredited US residency program
• Experience: Minimum total of 5 years of clinical experience including residency
• Knowledge, Skills, and Abilities:
• Academic Excellence
• Leadership
• Service, compassion, and humanism
• Diversity
• Ability to work as part of a team
• Basic Microsoft Office skills
• Ability to use a PC in a Windows environment, including MS Word
• Independent, focused individual able to work remotely or on-site