Each employee who participates in the coding, billing or claims submission process, from the initial receipt of a physician order to the receipt of payment for services, shall accurately and honestly perform his/her functions to ensure that accurate claims are submitted and the organization retains only those funds to which it is legally entitled.
The Conway Physician Group (CPG) Service Line Director (SLD) functions in a leadership role within CPG, and works in collaboration with physicians, Service Line Coordinators (SLC) and Senior Leadership Staff. The Service Line Director provides day to day leadership within responsible specialties or programs and supervises the development, implementation, and organization of the programs. In conjunction with SLC, facilitate the performance improvement process with a focus on patient, employee, and physician satisfaction, as well as clinical quality and operational efficiency. Presents new approaches and provides the support needed to facilitate implementation where appropriate. The SLD works closely with physicians and staff of assigned CPG Medical Office locations to oversee operations of the practice(s) and align it with the CPG mission and strategic vision. Directs, evaluates, and monitors performance of service line responsibilities to ensure the delivery of services meet cost, quality, safety, and experience requirements to achieve operational goals. The SLD is accountable for the overall development, strategic visioning and operational performance of the service line.
Key requirements involve the development, planning, coordinating and implementing business plan and strategy. This may involve budgets and overseeing all aspects of the daily operation of the business including business expansion; office coding billing and collections; patient service design; employee management and training; corporate and regulatory compliance; risk management; policy & procedure management; medical record management; technical issues to include information technology; physical office issue resolution; physician issue resolution; daily flow and evaluating standards of care for patients. In conjunction with SLC, facilitate the performance improvement process with a focus on patient, employee, and physician satisfaction, as well as clinical quality and operational efficiency. Presents new approaches and provides the support needed to facilitate implementation where appropriate. The position coordinates the efforts between stakeholders in the patient experience to include office based physicians/staff and health system staff and resources while tracking the progress of the program and identifying areas requiring attention. Works with the interdisciplinary teams to deliver an exceptional patient experience and monitors the quality of care delivery. Monitors and evaluate the effective of the care pathway and modifies as necessary and acts as a liaison with outside care providers and referral sources when needed. The SLD must be willing to coordinate alternate housing within the facility in advance of shifts when inclement weather potentially threatens the ability to get to the facility. The SLD may be required to report back to work during any emergency situation.
Assessment of overall credit worthiness by review of a consumer credit report is required.
Bachelor’s degree in Healthcare Administration or closely related field required.
Master’s degree in Healthcare Administration or closely related field preferred.
A minimum seven (7) years specific medical practice administration experience required. (10 years preferred)
A minimum five (5) years specific medical practice experience preferred.
Certified medical Practice Executive (CMPE) through the American College of Medical Practice preferred or equivalent.
Ability to work effectively and collaboratively with colleagues, physicians, department heads, and member of executive leadership required.
Demonstrated proficiency with Microsoft Outlook, Word, Excel, Explorer, PowerPoint and Physician Practice Management systems to include Information Technology with specific electronic health records required.
Demonstrated financial management, revenue cycle and scheduling/production skills required.
Exemplary core customer service skills strongly required.
Knowledge of program development and administration preferred.
Strong organizational skills required.
Strong verbal and written communication skills required.
Ability to remain calm and professional in all situations required.
Ability to consistently exercise independent judgement required.
Occasional exposure to difficult patients and high physician expectations.
Stress level high due to multiple demands frequently occurring simultaneously.
Physical surroundings generally pleasant and comfortable
Most work performed while sitting, however, a moderate amount of walking and moving around within a confined area occurs
Light-Medium - While performing the duties of this job, the employee is frequently (activity or condition exists from 1/3 to 2/3 of the time) required to stand, sit, and walk; frequently to use hands, fingers; and frequently to talk or hear. The employee must exert 15 to 20 pounds of force occasionally (activity or condition exists up to 1/3 of the time), and/or 5 to 10 pounds of force frequently, and/or greater than negligible up to 5 pounds of force constantly to move objects. Specific vision abilities required by this job include close vision, distance vision, color vision, peripheral vision, depth perception, and the ability to adjust focus. Ability to hear to process instructions and safety code and alarms required. The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job and will be assessed by post offer Employee Health fit-for-duty review.
Internal Number: 2905
About Conway Medical Center
At Conway Physicians Group, we are doing all that we can to ensure easy and convenient access to healthcare for our patients. As an integrated physician and healthcare services network, our goal is to provide the care and services our community wants and needs. Together we represent many specialties, and we are continuing to add specialties and services to further address our community’s needs. We have one focus: YOU.
The nonprofit medical center has 210 inpatient beds; a 66-bed long-term care facility, Kingston Nursing Center; a 22-bed sub-acute care facility, Medstar; and a Wellness & Fitness Center. Employing over 1400, CMC is one of the county’s largest employers.