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Physician Communication Support Coordinator in Knoxville, Tennessee, US at TeamHealth

Date Posted: 10/16/2019

Job Snapshot

Job Description

JOB DESCRIPTION OVERVIEW:

This position is the bridge between clinicians and leadership to the Quality Payment Program’s (QPP) Merit-Based Incentive Payment System (MIPS) team.  The Communication Coordinator serves as a primary contact and subject-matter-expert for the MIPS program to clinicians and leaders.  The coordinator will be responsible for resolving questions and issues.  The coordinator will perform research and analysis to better understand root causes of complex MIPS-related issues.  Additionally, this position will analyze medical record and billing data audits to identify discrepancies and assist in problem resolution.

The Communication Coordinator understands the business challenges of the healthcare industry, the changing landscape of quality reporting to CMS and its impact to all providers and business entities.  The Communication Coordinator is not only a capable communicator, but leaves a perception of an organized, professional, friendly, and competent MIPS Support team.

ESSENTIAL DUTIES AND RESPONSIBILITIES:

  • Provide first-level contact and problem resolution for all customers with program and application questions or issues.
  • Resolve as many user-reported issues as expertise permits, using available tools and following procedures and policies for the handling of support cases.
  • Review documentation on medical records from all clinical service lines
  • Assist in data validation to comply with CMS requirements and confirm accuracy of data reported to CMS.
  • Troubleshooting issues with complex and often unknown resolution strategies.
  • Courteously obtain and convey concise problem information for external and internal service personnel.
  • Promote confidence and ensure prompt resolution of outstanding issues.
  • Identify and escalate issues as appropriate following MIPS Support procedures.
  • Maintain in-depth knowledge of QPP & MIPS supported services.
  • Show initiative and act independently to resolve issues.
  • Maintain communications with customers throughout the resolution process.
  • Prepare reports and/or presentations for clinicians and leadership audiences as needed
  • Complete special projects and other duties as assigned.

 

Job Requirements

QUALIFICATIONS / EXPERIENCE:     

  • Bachelor’s Degree in Business Administration, Communications, healthcare operations or related field
  • Three – five years of related experience, preferably experience in healthcare or hospital-based environment
  • Basic understanding of Medicare and coding rules/regulations a plus
  • Intermediate computer proficiency in Microsoft Excel, Word, and PowerPoint
  • Understanding of medical terminology
  • Demonstrated ability to communicate effectively both orally and written; particularly the ability to explain complex MIPS program material in easy to understand terms
  • Ability to act with a sense of urgency and manage multiple tasks and stringent deadlines
  • Demonstrated ability to achieve successful outcomes in handling difficult situations and complex customer needs.
  • Ability to quickly learn new concepts and technical skills
  • Excellent interpersonal and customer service skills, professional demeanor
  • Ability to work well with others, and work with minimal direction/supervision
  • Ability to work under tight deadlines, prioritize work, and handle stress/conflict
  • Resourcefulness, ingenuity, strong decision-making and problem-solving skills
  • Organized and detail-oriented.

Cooperative, positive, courteous, and professional behavior and conduct is an essential function of every position. All employees must be able to work with others beyond giving and receiving instructions. This includes getting along with coworkers, peers, and management without exhibiting behavior extremes. Job functions may require personal leadership skills such as conflict resolution, negotiating, instructing, persuading, speaking with others as well as responding appropriately to job performance feedback from the supervisor. Additionally, the information contained in this job description has been designated to indicate the general nature and level of work performed by employees within this classification. It is not designed to contain or be interpreted as a comprehensive inventory of all duties, responsibilities, and qualifications required of employees assigned to this position.