Physician Advisor: Care Optimization & CDI Lead

IHA; Silver Spring (MD); On-site; USD 205,000 - 308,000; Full time

Benefits offered by this job

Benefits

Free parking

Employee discounts

Job summary

Holy Cross Health is seeking a Physician Advisor to optimize inpatient and observation care, manage LOS and discharge planning, and enhance clinical documentation improvement across the system. You will engage physicians in care coordination and CDI activities, while aligning with policies on access and quality.

Collaboration with departments and leadership will drive system-wide programs for infection control and mission support.

Qualifications

• Graduate of an accredited medical school.
• Five years recent experience in clinical practice in a hospital strongly preferred.
• Current active medical staff privileges.
• Board Certified/Eligible physician licensed in Maryland or applicable states.

Responsibilities

• Inpatient/Observation Clinical Optimization: provide physician expert support for utilization decisions, LOC status, LOS management, discharge planning, and care coordination.
• Collaborate with care teams to ensure appropriate patient placement and compliance with expertise areas.
• Provide instructional input and education to medical staff and CDI staff on clinical documentation improvement.
• Maintain knowledge of UR, LOC, and immunization and accreditation requirements in relation to utilization review.
• Conduct peer reviews to assist with appeals of denied or downgraded coverage determinations.

Skills

Clinical acumen

Care management

CMS rules

Denials management

Communication skills

Teaching and coaching

Team collaboration

Education

Medical degree (MD/DO)

Board certification/eligibility

Tools

EMR/EHR systems

Job description

Holy Cross Health is seeking a Physician Advisor to optimize inpatient and observation care, manage LOS and discharge planning, and enhance clinical documentation improvement across the system. You will engage physicians in care coordination and CDI activities, while aligning with policies on access and quality.

Collaboration with departments and leadership will drive system-wide programs for infection control and mission support.