Physician Contracting Administrator

Overview

Northside Hospital is award-winning, state-of-the-art, and continually growing. Constantly expanding the quality and reach of our care to our patients and communities creates even more opportunity for the best healthcare professionals in Atlanta and beyond. Discover all the possibilities of a career at Northside today.

Responsibilities

Works daily within the Physician Contracting department on the origination, coordination and administration of physician contracts while supporting standardized and centralized contract administration, compliance and records management.

PRIMARY DUTIES AND RESPONSIBILITIES

• Constructs agreements for physician employment, physician services and independent contractors. Ensures the use of appropriate language that reflects the relationship of the parties and assures that the language and the structure of the relationship is in compliance and consistent with institutional policies, Medicare fraud and abuse statutes, Stark regulations, and IRS and INS requirements. Works in conjunction with internal and external legal counsel.
• Contributes to the achievement of established department goals and objectives and adheres to company and department policies, procedures, quality standards, and safety standards.
• Assists with development of training programs for departments / units within the hospital regarding contracting processes, roles and responsibilities.
• Assists with the development and implementation of physician contracting standards and policy and procedures for the contracting process for each Northside entity.
• Develops, manages and maintains the essential data related to physician contract origination and administration. Provides reports to senior management as requested.
• Ensures that each physician contract is supported by essential documentation such as approval signatures, fair market value analysis, commercial reasonableness and statement of business necessity.
• Maintains and assures confidentiality of all contract and compensation information.
• Follows system and departmental document retention policy and assures that all agreements are tracked and retained.
• Monitors the contract tracking system and conducts appropriate follow-up on all pending or outstanding agreements, including renewal notices or amendments required by existing contracts or any new agreements not yet executed.
• Serves as a contact for supporting departments at each Northside entity involved in physician contracting, including but not limited to various clinical service lines leaders, Human Resources, Billing, Managed Care, Risk Management, Medical Staff Office, Finance, etc.
• Assists with maintenance of physician compensation survey data and performing internal calculations of value and fair market value as needed.

Qualifications

REQUIRED

PREFERRED

Work Hours:

Weekend Requirements:

On-Call Requirements: