Anesthesiology Physician

Anesthesiology Physician at CHRISTUS Health summary :

The Physician Advisor provides full-time administrative support at CHRISTUS St. Frances Cabrini Hospital, advising on physician practice, documentation, and resource utilization. This role involves leading utilization review efforts, providing educational support to the medical staff, and ensuring compliance with regulations and proper billing practices. The Physician Advisor also participates in care management initiatives and collaborates with payers to optimize patient care.

Description

Summary :

The Physician Advisor is a full-time administrative physician role serving CHRISTUS St. Frances Cabrini 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!

Requirements :

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

Clinical time, if desired, is flexible and negotiable.

Physician Advisor - Care Management & CDI Duties and Responsibilities

Utilization Management Plan : 20%

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

Care Management : 50%

Clinical Documentation Integrity 15%

Highlights / Benefits :

Balanced professional and personal lifestyle

Competitive compensation and benefits

Relocation assistance

Community Description :

Easy drive to New Orleans / Baton Rouge area

Easy access to local airport

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

Excellent public and private schools

Recruiter Contact Information :

Lynda Corotan

Email : Work Type :

Full Time

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Keywords :

Anesthesiology, Physician Advisor, Clinical Documentation Improvement, Utilization Review, Care Management, Healthcare Compliance, Medical Necessity, Patient Care, Documentation Practices, Quality Assurance