Director of Clinical Practice Management

Join us at

GA Med Group – a place where you’ll be valued, recognized and rewarded for the vital work you do each day. We’ll surround you with a strong team and leadership that supports every aspect of your life – both inside and outside of our centers. And you’ll get to practice your passion in a non-profit, mission-driven organization that’s known for the highest level of care in our communities

ESSENTIAL DUTIES AND RESPONSIBILITIES

• Coordinate with the appropriate internal team members to identify provider staffing needs and support timely recruitment efforts.
• Ensure candidates have a clear understanding of role expectations, including clinical responsibilities, facility coverage needs, documentation requirements, productivity expectations, and organizational standards.
• Make recommendations regarding candidate advancement based on qualifications, communication skills, experience, and operational fit.
• Coordinate provider interviews with appropriate internal stakeholders.
• Schedule and organize interviews to ensure timely, professional, and efficient candidate experience.
• Participate in provider interviews to assess candidate readiness, professionalism, communication style, clinical background, and ability to meet the expectations of the role.
• Maintain clear communication throughout the interview process to help ensure candidates remain engaged and informed.
• Provide onboarding training for newly hired providers.
• Educate new providers on organizational policies, clinical workflows, documentation expectations, EHR processes, billing and coding basics, compliance requirements, and operational procedures.
• Support new providers during their transition into assigned facilities and clinical responsibilities.
• Coordinate onboarding needs with relevant departments to ensure providers are prepared before beginning patient care responsibilities.
• Monitor new provider progress during the initial onboarding period and identify areas where additional education, support, or follow-up may be needed.
• Serve as an ongoing resource for providers regarding workflow expectations, and documentation standards.
• Monitor MIPS-related data and provider performance trends to help identify opportunities for education, improvement, and workflow adjustment.
• Coordinate with the Director of Informatics to review MIPS data, analyze performance gaps, and support quality improvement activities.
• Assist in developing and coordinating provider education related to MIPS performance, quality measure documentation, reporting expectations, and improvement strategies.
• Help providers understand how documentation, clinical workflows, and reporting requirements affect MIPS outcomes and organizational performance.
• Monitor and track improvement efforts and provide follow-up support to promote accountability and sustained performance improvement.
• Support the implementation of education and corrective action plans when performance gaps are identified.
• Assist with provider education related to billing and coding requirements, including CPT code selection, documentation standards, medical necessity, and compliance expectations.
• Coordinate with the Billing Coordinator to review billing and coding concerns, identify provider-specific trends, and support improvement efforts.
• Help address documentation gaps, coding concerns, claim-related issues, and payer-specific requirements in collaboration with the Billing Coordinator.
• Support providers in understanding how documentation quality impacts coding accuracy, reimbursement, claim submission, and payer compliance.
• Monitor provider coding patterns, including visit-level coding, frequency of services, documentation alignment, and potential areas of potential coding discrepancies.
• Assist in coordinating training when billing or coding errors, documentation deficiencies, or coding pattern concerns are identified.
• Support workflow improvements that promote timely documentation, cleaner claims, and reduced denials.
• Monitor provider performance related to documentation timeliness, productivity, visit expectations, coding patterns, and quality indicators.
• Identify provider performance trends and escalate concerns to the Senior Director of Physician Services as appropriate.
• Assist in developing education plans, performance support strategies, and workflow improvement recommendations.
• Participate in operational discussions related to provider performance, staffing needs, productivity, documentation quality, and quality improvement initiatives.

Cross Department Collaboration

• Collaborate with internal teams including informatics, billing, credentialing, compliance, operations, and human resources as needed.
• Coordinate with the Director of Informatics on MIPS data, reporting trends, provider education needs, and performance improvement activities.
• Coordinate with the Revenue Cycle Management Team on billing trends, coding concerns, documentation issues, claim-related patterns, and provider education needs.
• Support the development and implementation of provider-related policies, procedures, training materials, and workflow improvements.
• Provide regular updates to the Senior Director of Physician Services regarding provider onboarding, performance concerns, education needs, MIPS trends, and billing/coding support activities.
• Attends and participates in mandatory in-services.
• Follows established safety procedures when performing job tasks and/or working with equipment.
• Honors patients’ rights to fair and equitable treatment, self-determination, individuality, privacy, property and civil rights.
• Complies with the Corporate Compliance Program.
• Reports job-related functions /tasks that involve occupational hazards including exposure to blood and body fluids and others as necessary.
• Follows established safety regulations to include fire protection/prevention, smoking regulations, infection control, etc.
• Complies with all Privacy and Security, Adverse Event Response, and Disaster Security and Business Recovery programs.
• Promotes the image and reputation of the System by exhibiting servant leadership and providing direct and open lines of communication.
• Contributes to the work of committees, workgroups, project management, and other collaborative efforts of the System.
• Performs other duties as necessary to ensure the success of the System.

SKILLS AND ABILITIES

• Knowledge and compliance with rules and regulations governing medical care and payment for medical services.
• Knowledge and compliance with the procedural guidelines for the organization and its health service locations.
• Knowledge of federal and state health services regulations, value based care and standards emanating from Medicare and Medicaid, third party payers, and other external agencies and businesses.
• Knowledge of issues and challenges facing care delivery elements of the system with the ability to respond effectively to improve quality advancement, such as health care industry changes, legal/regulatory changes and technological trends.
• Knowledge and reasonable experience in establishing and/or developing productive relationships with physician groups, third party payers, employers, and other healthcare entities such as HMOs, PPOs, PHOs, and community clinics.
• Knowledge of care transitions/ case management/resource utilization programs, evidenced based treatment protocols, and other initiatives used to improve physician and health service performance within a market.
• Demonstrated ability to provide leadership in the implementation of clinical quality assurance, utilization review, and risk management programs.
• Good understanding of physician incentives and compensation methods, preferably with a record of accomplishment of building physician support.
• Understanding of the approaches and methods of process improvement, including planning, setting priorities, systematic performance assessment, implementation, and ongoing monitoring to continue improvement.

MINIMUM QUALIFICATIONS

• Valid Georgia Driver’s license
• Bachelor's degree with 3–5+ years Practice Management Experience or Associate’s Degree with 5-8+ years Practice Management Experience;
• Advanced Practice Provider Certification preferred

SUPERVISORY RESPONSIBILITIES

Yes

• EEO / M / F / D / V / Drug Free Workplace
• GA Med Group Facebook