The Physician Advisor serves as a liaison between the clinical document improvement (CDI) team, which includes hospital coders; members of the Hospital's administration; the Medical Staff of the hospital; and the hospital's Utilization Management to facilitate the development and implementation of clinical documentation improvement initiatives. The Physician Advisor is pivotal in leveraging his or her clinical position to demonstrate the association of care delivery with specificity in documentation. The Physician Advisor is responsible for conducting clinical reviews referred by the Utilization Management, Coding and Clinical Documentation Improvement departments. The Physician Advisor will assist with reviews and appeals of DRG and medical necessity denials.
Work Hours per Biweekly Pay Period: 80.00
Shift : Days
Location : 1324 Lakeland Hills Blvd Lakeland, FL
Pay Rate : Min $161,200.00 Mid $215,300.80
Qualifications & Experience
Essential: Medical Degree
Essential: Licensed to practice medicine in the state of Florida, shall be board certified in internal medicine, and shall meet any other reasonable professional criteria established by LRH or the hospital.
Experience Essential:
- Minimum of two years of experience in conducting coding and CDI reviews.
- Knowledge of coding guidelines and how it translates from clinical documentation.
- Knowledge of DRGs, Risk of Mortality, Severity of Illness, Mortality Rate, HCC/risk adjustment, CMI and the impact of clinical documentation/coding in relation to these metrics.
- Excellent computer skills with prior exposure to use of Microsoft Office suite
