Top 27 Cdi Dallas Jobs

Onsite Physician Advisor - Texarkana
Christus Health —Texarkana, TX
- Full-time
- Hospital
- 5 years
- BC/BE
- Relocation assistance
6d
CDI Quality Review RN
UT Southwestern —Dallas, TX
- Full-time
- Nursing
- RN License
- 3 years
- Paid parental leave
- Paid holidays
Coding Specialist III
UT Southwestern —Dallas, TX
- 8 hour shift
- Remote
- Anatomy knowledge
- Surgery
- High school diploma or GED
- Paid parental leave
- Paid holidays
Managed Services - Revenue Integrity/CDI/HIM - Director
PwC —Atlanta, GA
- $155,000 - $410,000 a year
- Full-time
- 8 years
- Bachelor's degree
- Travel
- Paid holidays
- Health insurance
Coding/CDI Denials Analyst - CCDS
UT Southwestern —Dallas, TX
- Full-time
- Mid-level
- Continuous improvement
- Acute care experience
- Paid parental leave
- Paid holidays
Dallas Field Support Tech
CDI —Irving, TX
- Entry level
Quick Apply
1st Shift General Labor/ Insulator/Crater
CDI —Irving, TX
- $18 - $20 an hour
- Ability to walk for extended periods
- Pass drug screening
- English
- Opportunities for advancement
Quick Apply
1st Shift Operator
CDI —Irving, TX
- $20 - $22 an hour
- 18 years or older
- Ability to walk for extended periods
- Pass drug screening
- Profit sharing
- Paid holidays
Quick Apply
Welder
CDI —Fife, WA
- Analysis skills
- Ability to lift 75 pounds
- Manufacturing
Quick Apply
2nd Shift Welder
CDI —Irving, TX
- $18 - $20 an hour
- Analysis skills
- Ability to lift 75 pounds
- Manufacturing
Quick Apply
2nd Shift General Labor/ Insulator/Crater
CDI —Irving, TX
- $18 - $20 an hour
- Ability to walk for extended periods
- Pass drug screening
- English
- Opportunities for advancement
Quick Apply
Software Engineer Senior - Informatica Cloud Services/PowerCenter
PNC Financial Services Group —Strongsville, OH
- $40,000 - $158,125 a year
- Full-time
- 3 years
- SQL
- Bachelor's degree
- Wellness program
- Health savings account
General Labor/Insulator- 1st shift
CDI —Tolleson, AZ
- Ability to walk for extended periods
- Pass drug screening
- English
- Opportunities for advancement
Quick Apply
Welder - Weekend Shift
CDI —Elk River, MN
- $30 - $45 an hour
- Part-time
- Mid-level
- Analysis skills
- Ability to lift 75 pounds
Quick Apply
2nd Shift Operator
CDI —Irving, TX
- $20 - $22 an hour
- 18 years or older
- Ability to walk for extended periods
- Pass drug screening
- Profit sharing
- Paid holidays
Quick Apply
Software Engineer Lead - Informatica Cloud Services/PowerCenter
PNC Financial Services Group —Pittsburgh, PA
- $55,000 - $158,125 a year
- Full-time
- Salesforce
- 3 years
- Bachelor's degree
- Wellness program
- Health savings account
Water Product Manager
Sagemcom —Dallas, TX
- Spanish
- Product management
- Senior level
- Health insurance
- Dental insurance
Clinical Document Integrity Specialist
UT Southwestern —Dallas, TX
- Full-time
- Nursing
- RN License
- 5 years
- Paid parental leave
- Paid holidays
1d
Energy Product Manager
Sagemcom —Dallas, TX
- Spanish
- Office
- Product management
- Health insurance
- Dental insurance
Field Application Engineer
Sagemcom —Dallas, TX
- Bachelor of Science
- In-person
- Communication skills
- Health insurance
- Dental insurance

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Onsite Physician Advisor - Texarkana

Christus Health -
Texarkana, TX

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Job Details

Full-time
6 days ago

Benefits

Relocation assistance

Qualifications

Utilization management
Resource utilization in healthcare
Medical License

Full Job Description

Description

Roles and Responsibilities Overview
The Physician Advisor is a full-time administrative physician role serving CHRISTUS St. Michael hospital and its affiliates through teaching, consulting, and advising both the Care Management Department and the medical staff on matters regarding physician practice patterns, documentation, over- and under-utilization of resources, medical necessity, compliance rules and regulations, collaboration and relationships with payers, and the community. The PA also ensures physician support and execution for the Care Management and CDI Departments' initiatives by promoting effective and efficient physician documentation to support the patient's Level of Care (LOC), billing status, and appropriateness of Medicare Severity-Diagnosis Related Group (MS-DRG)/DRG assignment. The PA will submit monthly time records documenting time actually spent in the provision of the responsibilities outlined below. M-F, no call responsibilities!

Reporting Relationship
The PA reports directly to the Chief Medical Officer of St. Michael hospital- Texarkana

Professional Qualifications
The Physician Advisor-Care Management and Clinical Documentation Improvement role should be staffed by a physician with the following qualifications:

5 years of clinical experience

Licensed physician in state of residence

Board certified in a clinical specialty

Certified by the American Board of Quality Assurance and Utilization Review Physicians, Inc (ABQUARP) - preferred

Experienced in clinical practice with an understanding of utilization review

· ·Served on or chaired an Utilization Management Committee

· ·Demonstrated cost-efficient practice

Physician Advisor - Care Management & CDI Duties and Responsibilities

Utilization Management Plan: 20%

In collaboration with the Director of CM, lead the Utilization Review Committee

Conduct secondary status reviews for appropriate level of care determination

Conduct peer-to-peer consults with the payor medical directors for the denied cases, to resolve medical necessity issues prior to claims submission.

In collaboration with the CMO and Director of CM, monitor key metrics for UM and participate in action steps to achieve targets. Metrics include (but not limited to):

Denial trends, appeals & recoveries

Length of stay- inpatient and observation

Condition Code 44

Physician & Staff Education: 15%

Provide education to physicians and other clinicians related to regulatory requirements, appropriate billing status and utilization of alternate levels of care, community resources, and end of life care.

Work with physicians to facilitate referrals to the continuum of care

Facilitate, mentor, and educate other physicians regarding payer requirements

Provide mentoring/coaching to UR Case Managers to increase knowledge in care progression

Educate physicians on the benefits and importance of a clinical documentation program and how to work with CDI specialists

Care Management: 50%

Participate in daily IDRs takes action to expedite testing and treatment to promote efficient patient care and appropriate LOC

Provides guidance/assistance to the Emergency Department Physicians and CM staff to ensure correct LOC designation at intake

Act as a liaison with payers to facilitate approvals and prevent denials or carved-out days when appropriate

Participate in review of long-stay patients escalated from Care Management to facilitate the use of the most appropriate LOC

Review cases that indicate a need for issuance of a hospital notice of non-coverage determination. Discuss the case with the attending physician and if additional clinical information is not available, discuss the process for issuance and appeal with the physician.

Document patient care reviews, decisions, and other pertinent information per hospital policy

Possess foundational knowledge of InterQual and MCG criteria

Participate in Care Management Leadership & staff meetings to help identify and progress toward departmental goals

Notify the Care Manager of any conflict of interest in reviewing a particular patient record. Assist with identifying a physician to review such record.

Clinical Documentation Integrity 15%

Provide feedback to physicians in each service on clinical documentation using specific case examples/3M

Highlights/ Benefits:

Balanced professional and personal lifestyle

Competitive compensation and benefits

No state income tax

Relocation assistance

Community Description:

Easy drive to Dallas

Enjoy the lush green countryside, pine tree-covered hills and lakes.

Year-round outdoor activities include golfing, hunting, fishing, camping, hiking, and boating.

Excellent public and private schools

Recruiter Contact Information:

Liz Flippo

Email:

[email protected]

EEO is the law - click below for more information:

https://www.eeoc.gov/sites/default/files/2023-06/22-088_EEOC_KnowYourRights6.12ScreenRdr.pdf

We endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact us at (844) 257-6925.

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Onsite Physician Advisor - Texarkana

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2nd Shift Welder

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Clinical Document Integrity Specialist

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