Cdqi Physician Advisor Jobs

Education in quality and utilization management through continuing medical education programs and self-study.

Minimum of 1 year of experience as a Physician Advisor required.

Experience performing Peer to Peer Reviews, preferred

Broad-based knowledge regarding clinical practice.

Broad knowledge base with trust and respect of medical staff physicians.

In-depth knowledge of CMS regulations, including understanding of the 2-midnight rule.

Educational Requirements: Medical Degree, Board certification required

Job Specific and Unique Knowledge, Skills and Abilities

Preferred Educational Requirements: Member of the American College of Physician Advisors (ACPA).

Regulatory Compliance: Ensures department’s compliance with all regulatory, DNV, mandatory education, and similar requirements.

Working knowledge of criteria for Medicare, Medicaid, HMO and private insurance coverage; knowledgeable of Federal and State regulations and hospital finance.

Assist with length of stay management and utilization of resources

Assist with special projects as needed and perform related duties as assigned or delegated by management.

Knowledge of DRG payer issues, documentation opportunities, clinical documentation requirements, and referral policies and procedures.

Experienced computer skills in Microsoft Word, Excel, Office, Outlook, and PowerPoint

Analyze project findings and identify potential root causes of produced errors and prepare education and reference summary reports for clients.

Lead and develop the training and education to hospital CDI staff and physician providers.

3+ years of relevant experience