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Physician Advisor
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- The physician Advisor will work closely with the medical staff, including house staff, and all utilization management (UM) personnel, Care Management (CM) personnel to develop and implement methods and strategies to optimize the use of hospital services.
- This includes care management processes that ensure patients are in the appropriate level of care with supporting documentation of regulatory compliance and accurate coding.
- The PA meets with care management, UM staff and health care team members and medical directors of third-party payers to discuss the needs of patient's and alternative levels of care.
- The PA will act as a liaison between the CDI (Clinical Documentation Improvement)
- professional, HIM (Health Information Management ) ,and the hospital's medical staff to facilitate accurate and complete documentation for coding and abstracting of clinical data, capture of severity, acuity and risk for mortality, in addition to Direct Report Groups (DRG) assignment.
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