1. Evaluates the effectiveness of operational procedures and makes immediate changes to facilitate the highest level of patient service and efficiency. Identifies issues that impede delivery of quality patient care; develops and implements short-term improvements and plans for long term process improvements. Partners with members of the leadership team to develop long term objectives for the practice related to productivity, compliance, communication and patient satisfaction. 2. Monitors and analyzes monthly productivity statistics and key financial indicators to assess accuracy and effectiveness of processes, and identifies trends or items requiring immediate corrective action. Reviews physician productivity and billing data regularly. Provides comprehensive detailed summary of findings to faculty including approaches to enhance efficiencies and overall reimbursement of clinical services. 3. Monitors and enforces compliance with YMG Policies and Procedures, Practice Standards, HIPAA regulations and Billing Compliance standards throughout all operational activities. Develops budgetary forecasts and profit and loss statements for the practice. Oversees the monitoring and enforcing of customer service standards for staff members addressing deficiencies. Resolves complicated billing, collections, and patient service issues by interfacing with YNHH, YMG management, faculty and other clinical Practice managers. Interfaces with YNHH and YMG Group-Patient Financial Services regarding clinician credentialing. 4. Oversees clinical practice operations of section by ensuring appropriate training, ongoing education, and monitoring of day-to-day activities. Works with the clinical leadership and other key departmental clinical/administrative staff on matters relating to practice performance and clinical issues in accordance with budget, goals and benchmarks. Provides leadership and direction to clinical staff where appropriate. 5. Researches and develops proposals for internal and external program initiatives and new clinical opportunities and advises leadership on the financial impact of new projects or initiatives. Prepares special analyses, reports and complex financial modeling to support the decision-making process. Negotiates contracts for consulting, physician leasing, affiliated hospital agreements and all other clinical agreements and managed care contracts. Analyzes proposals and determines cost, benefits, risks and liabilities. 6. Manages implementation of electronic medical record within the Practice. Streamlines communications between EMR team, physicians, and clinical staff. Establishes, implements and monitors medical record protocols and procedures. Ensures office compliance with Federal/state/local regulations. 7. Develops multifaceted communications via print, web and video to optimize and support the section's mission to provide compassionate, state-of-the-art medical care for enhanced patient outcomes. Monitors patient satisfaction through surveys and other feedback plan responses to improve performance based on section specific goals. Recognizing the key drivers for marketing and communicating the mission and goals of the practice, develops and organizes initiatives for enhancing physician relations, customer satisfaction, community involvement, advertising and public relations. Ensures that all media is in compliance with guidelines established by University & YMG and that faculty/staff are aware of and abide by policies. 8. Establishes and monitors clinician work schedule assignments for best utilization of space and maximum productivity. Represents department with regard to facility concerns, maintenance and security. 9. Keeps current in practice management and process improvement concepts through involvement in professional organizations, seminar attendance, user group meetings and individual research.

Required Skill/ability 1:  Well developed training and communication skills to design and present programs to a large spectrum of trainees.

Required Skill/ability 2:  CPC or other equivalent coding certification.

Required Skill/ability 3:  Computer skills to include PC-based word processing, spreadsheet and database software.

Required Skill/ability 4:  Superior organizational skills.

Required Skill/ability 5:  Comprehensive knowledge of ICD-9 and CPT-4 coding and billing practices including research billing guidelines. Ability to interpret operative and procedural reports Evaluation and Management documentation guidelines. Thorough knowledge of Medicaid and Medicare billing. Experience developing auditing and quality assurance methods in large clinical practices.

Preferred Education:  CRS, BRIO and Access. Bachelor's degree in Health Care Management, Finance, Business or Nursing and a minimum of seven years related work experience in multi-specialty group practice, academic plan or hospital; or the equivalent combination of education and experience.

Work Week:  Standard (M-F equal number of hours per day)

Posting Position Title:  Manager 3, Clinical Practice

University Job Title:  Sr. Compliance Auditor

Preferred Education, Experience and Skills:  CRS, BRIO and Access. Bachelor's degree in Health Care Management, Finance, Business or Nursing and a minimum of seven years related work experience in multi-specialty group practice, academic plan or hospital; or the equivalent combination of education and experience.

Bachelor's degree in relevant technical field and six years of related technical experience; or an equivalent combination of education and experience.

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