Details
Posted: 02-Aug-22
Location: Renton, Washington
Salary: Open
Categories:
Operations
Internal Number: DIREC002888
About Us
Washington Permanente Medical Group (WPMG) is a clinician-led, self-governed and independent multi-specialty group practice, providing care to the more than 700,000 Kaiser Permanente patients in Washington state. We work unencumbered by traditional health care obstacles and without silos; prioritizing people over profits, collaboration over ego, and driven by a singular goal: our patients' health. At WPMG, we take care of the whole person, with a team to address the fundamental, social, and emotional needs that contribute to total health. We are clinicians motivated by the desire to make a purposeful difference in the communities we serve, and in how health care is delivered.
JOB SUMMARY |
The Director, Documentation and Reporting Program is responsible for providing strategic leadership, direction, and oversight in achieving WPMG's Documentation and Reporting goals, in partnership with other affiliated KP PMGs. The position works collaboratively with the Medical Director, Documentation and Coding, and KFHP/W departments and PMG counterparts in affiliated regions to develop, coordinate, and monitor the appropriate and accurate capture of patient care; including services and diagnoses, by physicians and other clinicians, both in Care Delivery and the contracted network. In addition, the Director has expert understanding of the interdependence of accurate reporting with Quality, Compliance, benefit assessment, as well as the revenue cycle and risk adjustment teams. The Director oversees a team of resources (that may be based in other regions) who have primary accountability for a functional area which may include: monitoring, data mining, clinician & staff education, benefits assessment and implementation, and systems & applications support. |
PRINCIPAL DUTIES & RESPONSIBILITIES |
Responsibility | |
* | - Serves as a Documentation and Coding expert, in partnership with other PMG Program Directors, advising WMPG Executive Leadership on all Risk Adjustment Plans, Revenue Cycle issues, Benefit Assessment and Implementation and other complex healthcare issues of strategic importance.
- Partnering with the Medical Director, provides leadership and direction in accordance with the overall strategic operational goals of WPMG, working to achieve consistency with other KP Program standards for documentation completeness and accuracy.
- Leads PMG efforts regarding risk adjustment (Medicare, Medicaid, Affordable Care Act, Commercial risk adjustment) for Care Delivery and contracted network provider groups.
- Actively monitors operational and financial performance to anticipate and meet the needs of leadership.
- Monitors KP implementation of risk adjustment in the commercial sector including the small group and individual market (in and out of the Exchange) and large groups and escalates any findings and concerns as appropriate
- Applies thorough understanding of key business processes to effectively anticipate and address long-term implications of decisions and actions.
- Participates in collaborative goal setting and strategic planning with key stakeholders.
- Partners with other departments and teams to support and champion initiatives. Examples include: Quality, Compliance, Revenue Cycle, Finance, Benefits Administration, Epic (electronic medical record), Training and Education.
- Fosters a positive and pro-active work environment, emphasizing respect for individuals, high standards of quality, customer service, innovation and team work.
- Effectively communicates leadership messages, models leadership behaviors and supports change management.
- Responsible for leading a team fostering a strong results orientation by motivating staff and holding them accountable to meeting service, quality and, operational goals.
- Other duties as assigned.
EDUCATION REQUIRED | DESCRIPTION | PREFERRED | | Bachelor's degree in finance, business, or related field. Master's degree strongly preferred | Master's Degree in Finance, Business, or related field |
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EXPERIENCE
REQUIRED | DESCRIPTION | PREFERRED |
Minimum: | Minimum of 10 years' experience in healthcare consulting and/or medical group business functions or operations including risk adjustment, documentation and coding, revenue cycle and associated functions. Minimum of 5 years' experience leading a team with direct supervisory responsibilities. Proven success in medical group management, including leadership experience in implementing large scale change. | |
CERTIFICATIONS / Licensure
REQUIRED | DESCRIPTION | PREFERRED |
Minimum: | | | |
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JOB SPECIFICATIONS
KNOWLEDGE & SKILLS
Knowledge: Areas of specialty or expertise (e.g., intermediate knowledge of research methodology and data collection modalities)
Skills: Abilities needed to execute job duties (e.g., advanced writing and documentation skills)
| KNOWLEDGE/SKILL | DESCRIPTION | REQUIRED/PREFERRED |
| Expertise | - Knowledge of multi-specialty group practice network contracted provider groups, health plan, and medical center operations.
- Knowledge and expertise in documentation and coding requirements; demonstrating subject matter level of expertise.
- Expert knowledge of Federal rules and regulations regarding documentation and coding.
- Demonstrated effective problem solving, analytical, and decision-making skills.
- Proven negotiation and conflict resolution skills.
- Excellent communication and presentation skills (oral and technical)--the ability to take complex problems, assess and describe them, and communicate solutions.
| Required | |
| Management | - Demonstrated leadership skills with the ability to direct the activities of others on a direct or matrix team basis.
- Ability to collaborate and be influential across structures and roles.
- Ability to facilitate and lead organizational decision-making processes
- Ability to challenge established ways and lead change.
| Required | |
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| Relationships | - Builds productive rapport with employees at all levels within and outside the department.
- Treats others with fairness, dignity, and respect.
- Accepts suggestions and criticism in a cooperative and positive manner.
- Works collaboratively with team members and others to achieve identified goals and objectives.
- Ability to work effectively across organizations, departments, and teams.
- Establishes and maintains good working relationships with both external and internal customer.
- Interacts with others in a helpful and informative manner.
- Capable of resolving conflict.
| Required | |
Service Excellence | - Understands and responds promptly and courteously to customer needs and expectations.
- Follows through to see if customer needs were met and keeps them informed of status.
- Timely when responding to voicemail, e-mail and interoffice communications.
- Expresses ideas clearly and accurately both orally and in writing.
- Encourages, respectfully listens to and acknowledges diverse points of view.
- Treats all customers with courtesy and respect.
- We are professionals serving professionals.
| Required | |
Management | - Ability to collaborate and be influential across structures and roles.
- Ability to facilitate and lead organizational decision-making processes
| Required | |
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Will require travel to other sites as needed within KP Washington sites.
As a condition of employment, all clinicians and employees are required to verify COVID-19 vaccination status. As part of the pre-boarding process and before starting work, you will be required to verify your vaccination status, and will be provided an opportunity to apply for an accommodation based on a religious or medical reason, if needed.
Benefits
Benefits include: Medical/dental/vision benefits, 401(k) & employer-paid retirement contributions, paid vacation, long-term disability, long-term care benefits.
Community
Renton, with a population of 101,300, is located on the south shore of Lake Washington with spectacular views of the lake, the Olympics, the Cascades, and Mount Rainier. The Cedar River runs through the heart of downtown and offers an abundance of natural beauty and a run of federally endangered chinook salmon. The City is centrally located for access to the regions' transportation network, accessible by four state and three interstate highways, only minutes away from Seattle, Bellevue, Tacoma and Sea-Tac Airport. Renton's strong economic base, diverse marketplace and favorable business climate have attracted the attention of nationally recognized companies that are looking to provide employees and their families with an outstanding quality of life.
We are dedicated to building lifetime relationships with peers and patients in Washington State's richly diverse communities. Many know the Pacific Northwest as an attractive tourist destination with beautiful scenery, friendly people, and a host of cultural and recreational opportunities. These elements, and others, make Washington an excellent place to live.
Equity, Inclusion and Diversity
In our local communities and across the nation, Kaiser Permanente sets the standard for respectful care. With multicultural staff, equity, inclusion and diversity councils, medical interpretation resources, outreach efforts, educational programs and more, Kaiser Permanente puts people first in our medical centers and beyond.
As part of Kaiser Permanente, Washington Permanente Medical Group (WPMG) seeks to create equity in our communities, eliminate health disparities, and always put patients--the heart of everything we do--first.
Following the guidelines in our National Diversity Agenda, every member of our team strives to:
- Provide culturally responsive and appropriate medical care to improve the health and satisfaction of all people in our increasingly diverse membership
- Recruit and retain clinicians and staff that enhance our workforce
- Grow our membership by providing exceptional service and clinical care to all communities in our region
Creating a diverse workforce, an inclusive environment, and equitable opportunity for employment, growth, and advancement are deeply linked to our mission, our business, and our economic future. WPMG continues to add programs that build and maintain a workplace where we engage with our members, communities, and each other--with dignity, respect, and cultural understanding.
Equal Employment Opportunity
As part of our commitment to our employees and the members and patients we serve, we integrate diversity into all aspects of our operations. Maintaining a workforce with industry-leading levels of diversity through deliberate planning, development, and outreach is critical to fulfilling our mission, sustaining our business objectives, and providing the best level of care to our members and patients. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, protected veteran, or disability status.
