Medical Director, Clinical Performance & Documentation Integrity

Baptist Health

1d

About The Position

Baptist Health is the largest healthcare system serving central Alabama, providing comprehensive hospital-based and outpatient services to nearly 60 percent of the residents in Montgomery, Autauga and Elmore counties. To learn more about Baptist Health, visit us at https://www.baptistfirst.org. Highlights: Summary: The Medical Director, Clinical Performance and Documentation Integrity is a physician executive who shall lead system-level efforts across campuses to advance clinical performance, documentation integrity, quality, reliability, and analytics. Serving as a vital bridge between clinical operations, revenue cycle, and technology, this role strengthens collaboration among physicians, Case Management, CDI, Coding, Revenue Cycle, Compliance, IT, and hospital leadership to ensure appropriate utilization, accurate documentation, and high-reliability care. The Medical Director will have direct oversight for system-wide metrics and help align operational, clinical, and technological initiatives to support safe, efficient, and compliant patient care. Education/Experience: Doctor of Medicine (MD) or Doctor of Osteopathy (DO) degree required. Advanced training or experience in utilization management, case management, or hospital leadership preferred. Licensure/Certification: Active MD licensure required. Board certification in an accredited specialty required. Certification in utilization review, clinical documentation, or physician advising preferred. Knowledge, Skills, Abilities: Ability to maintain a professional and customer centric composure in difficult or challenging situations. Ability to work from broad directions and be self-motivated. Ability to prioritize workload to achieve maximum efficiency. Ability to effectively communicate with people of various backgrounds throughout the organization. Ability to provide a positive customer service experience to guest, visitors, and patients. Ability to communicate effectively, both orally and in writing. Knowledge of organizational structure, workflow, and operating procedures. Ability to supervise and train employees, to include organizing, prioritizing, and scheduling work assignments. Assists CMO with regular reports to physicians, management, senior leadership, various committees including the facility Medical Executive Committee and compliance with all CMS and State conditions of participation Educate management, senior leadership, committee members, medical staff and facility Advisory Boards on any action plans and compliance with CMS and State conditions of participation Demonstrate problem solving abilities, leadership, conflict management, strategic thinking, and team building skills in order to ensure a productive work environment and achievement of goals Searches out best performance and best practices system wide including process development and targeted goals for achieving best practice results Participate in system-level meetings to collaborate on anticipated changes in software, technology platforms, documentation systems, and workflows that may affect clinical operations or revenue integrity. Provide subject-matter expertise to ensure that proposed updates align with regulatory requirements and support optimal utilization management

Requirements

• Doctor of Medicine (MD) or Doctor of Osteopathy (DO) degree required.
• Active MD licensure required.
• Board certification in an accredited specialty required.
• Ability to maintain a professional and customer centric composure in difficult or challenging situations.
• Ability to work from broad directions and be self-motivated.
• Ability to prioritize workload to achieve maximum efficiency.
• Ability to effectively communicate with people of various backgrounds throughout the organization.
• Ability to provide a positive customer service experience to guest, visitors, and patients.
• Ability to communicate effectively, both orally and in writing.
• Knowledge of organizational structure, workflow, and operating procedures.
• Ability to supervise and train employees, to include organizing, prioritizing, and scheduling work assignments

Nice To Haves

• Advanced training or experience in utilization management, case management, or hospital leadership preferred.
• Certification in utilization review, clinical documentation, or physician advising preferred.

Responsibilities

• Assists CMO with regular reports to physicians, management, senior leadership, various committees including the facility Medical Executive Committee and compliance with all CMS and State conditions of participation
• Educate management, senior leadership, committee members, medical staff and facility Advisory Boards on any action plans and compliance with CMS and State conditions of participation
• Demonstrate problem solving abilities, leadership, conflict management, strategic thinking, and team building skills in order to ensure a productive work environment and achievement of goals
• Searches out best performance and best practices system wide including process development and targeted goals for achieving best practice results
• Participate in system-level meetings to collaborate on anticipated changes in software, technology platforms, documentation systems, and workflows that may affect clinical operations or revenue integrity.
• Provide subject-matter expertise to ensure that proposed updates align with regulatory requirements and support optimal utilization management

What This Job Offers

• Job Type: Full-time
• Career Level: Manager
• Education Level: Ph.D. or professional degree
• Number of Employees: 501-1,000 employees