Physician Advisor: CDI, Utilization & Denials Lead

Premier Health; Dayton (OH); On-site; USD 200,000 - 300,000; Full time

Job summary

Premier Health in Dayton, Ohio is seeking a Physician Advisor – Utilization Management to optimize clinical documentation and resource utilization. This key clinical leader will drive documentation accuracy and collaborate with various teams including CDI, Coding, and Quality staff to enhance patient care.

Successful candidates will hold an MD or DO, have at least 3 years of clinical experience, and possess strong skills in communication and guideline interpretation. The role emphasizes ongoing education and improvement in clinical documentation practices.

Qualifications

• Active Ohio medical license or eligibility for licensure.
• Minimum 3 years of clinical practice experience.
• 1-2 years’ experience in CDI or Utilization Management preferred.

Responsibilities

• Provide secondary reviews for Clinical Documentation Integrity.
• Conduct provider education on documentation best practices.
• Analyze CMI trends and support quality improvement initiatives.

Skills

Excellent communication skills

Clinical interpretation of guidelines

Experience with EHR systems

Education

Doctor of Medicine (MD) or Doctor of Osteopathy (DO)

Tools

Epic

Job description

Premier Health in Dayton, Ohio is seeking a Physician Advisor – Utilization Management to optimize clinical documentation and resource utilization. This key clinical leader will drive documentation accuracy and collaborate with various teams including CDI, Coding, and Quality staff to enhance patient care.

Successful candidates will hold an MD or DO, have at least 3 years of clinical experience, and possess strong skills in communication and guideline interpretation. The role emphasizes ongoing education and improvement in clinical documentation practices.