Physician Advisor: CDI, Utilization & Denials

Premier Health; Dayton (OH); On-site; USD 200,000 - 250,000; Full time

Job summary

Premier Health in Dayton, Ohio is seeking a Physician Advisor to advance documentation accuracy and resource utilization across the health system. This role focuses on optimizing patient care documentation, educating providers, and ensuring compliance with healthcare regulations.

The ideal candidate will have a strong clinical background, excellent communication skills, and a passion for improving healthcare documentation practices. Responsibilities include secondary reviews, provider education, and participation in utilization management activities.

Qualifications

• MD or equivalent with experience in clinical documentation and coding.
• Strong understanding of healthcare utilization management.
• Excellent communication and interpersonal skills.

Responsibilities

• Lead secondary reviews of complex Clinical Documentation Integrity queries.
• Conduct provider education sessions on documentation practices.
• Analyze trends related to Clinical Management Index (CMI) and quality.

Skills

Clinical Documentation Integrity

Provider Education

Utilization Review

Peer-to-Peer Discussions

Education

Medical Degree (MD or equivalent)

Tools

EHR Systems

Job description

Premier Health in Dayton, Ohio is seeking a Physician Advisor to advance documentation accuracy and resource utilization across the health system. This role focuses on optimizing patient care documentation, educating providers, and ensuring compliance with healthcare regulations.

The ideal candidate will have a strong clinical background, excellent communication skills, and a passion for improving healthcare documentation practices. Responsibilities include secondary reviews, provider education, and participation in utilization management activities.