Physician Advisor - Silver Spring - Trinity Health

    Trinity Health
    Trinity Health Silver Spring

    18 hours ago

    Trinity Health background
    Description

    About the Position

    Employment Type: Full time

    Shift: Description:

    The Physician Advisor role is a critical part of our team, providing expertise on appropriate utilization/level of care (LOC), length of stay (LOS) management, patient flow/throughput management, and clinical documentation improvement.

    Main Responsibilities:

    • Inpatient/Observation Clinical Optimization: Serve as a physician expert and provide support to care teams regarding utilization decisions, including screening for appropriateness of hospitalization, LOC status, LOS management, and continued stay decisions.
    • Clinical Documentation Improvement: Provide instructional input and education to medical staff and CDI staff to ensure accurate and complete clinical documentation.
    • Regulatory and Accreditation: Maintain knowledge of regulatory and accreditation requirements related to utilization review (UR), LOC, and clinical documentation.
    • Revenue Excellence: Conduct verbal and written Peer to Peer reviews to assist with appeals of denied or downgraded coverage determinations by managed care, commercial payers, and recovery audit contractors.

    Requirements:

    • Graduate of an accredited medical school
    • Completion of specialty residency (e.g., Internal Medicine, Emergency Medicine)
    • Five years recent experience in clinical practice in a hospital preferred
    • Previous experience as a physician advisor preferred
    • Current active medical staff privileges

    We Offer:

    • Flexible work schedules to support a healthy work-life balance
    • Opportunities for professional growth within the organization
    • A competitive salary range of $98.65-$147.98 per hour, based on experience, skills, and education


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Physician advisor