Physician Advisor, Clinical Documentation Improvement & Utilization Management

Job Description

Position:  Physician Advisor, Clinical Documentation Improvement & Utilization Management

PRIMARY SCOPE OF SERVICE:

The Physician Advisor CDI/UM works closely with the medical staff leadership, the entire medical staff, including resident physician house staff, and coding and CDI to ensure physician clinical documentation is accurate and complete with respect to severity of illness, risk of mortality, and regulatory requirements with respect to coding specifications and billing guidelines. In addition, the Physician Advisor CDI/UM also works with all areas of resource management, case management, social services, discharge planning, and utilization management to develop and implement methods to optimize use of hospital services for all patients while also ensuring the quality of care provided. This includes working with AtlantiCare’s hospital leadership in developing care management protocols with phy...