Physician Advisor – 7 On 7 Off
The Physician Advisor will drive quality performance across the organization by communicating with hospital physicians, utilization management, CDI, denials, and quality staff to champion best practices for documentation directly related to evidence-based care.
Responsibilities
The Physician Advisor (PA) conducts clinical reviews on cases referred by case management staff, CDI, quality, denials and/or other health care professionals to meet regulatory requirements, documentation standards and in accordance with the organization’s objectives for assuring quality patient care and effective, efficient utilization of health care services. The PA meets with case management, CDI, quality, denials and health care team members to discuss selected cases and suggest care alternatives.
The PA will also interact with medical staff members and medical directors of third-party payers to discuss the needs of patients and alternative levels of care. The PA acts as a consultant to and resource for attending physicians regarding their decisions relative to appropriateness of hospitalizations, continued stay and resource usage. The PA further acts a resource for the medical staff regarding federal and state utilization and quality regulations.
Qualifications
- MD or DO current
- Unrestricted medical license in state of residence
- Demonstrated ability to build rapport with medical staff and hospital leadership
- Strong computer skills and working knowledge of EMRs
Preferred Qualifications:
- Board Certified / Eligible
- Minimum of 3 years of experience in a hospital-based practice setting
- CCDS or CDIP
- CCS