Administration opening: Midwest City & Shawnee, OK
Saint Louis, Missouri, United States
Job Summary
Occupation
Physician
Specialty
Medical Director
Degree Required
MD/DO
Position Type
Permanent/Full-Time
Work Environment
Hospital
Clinic/Private Practice
Location
Midwest City & Shawnee, Oklahoma, Oklahoma, United States
Visa Sponsorship
No
Job Description
Last Update:
4/15/24
Physician Advisor opening in OK (Midwest City & Shawnee)
- Midwest City located 10mi from Oklahoma City
- Shawnee located 40mi from Oklahoma City
- Full-time, employed position
Qualifications
- M.D. or D.O.
- Hold and maintain an unrestricted medical license in the state of Oklahoma
- Meet the requirements (and become a member) of the Hospital medical staff
- Strong computer skills and working knowledge of the EPIC EMR
- Must have at least 3 years of clinical experience
About the position:
Facility is seeking a well-rounded Physician Advisor who has the proven ability to engage with their medical staff and hospital leadership and who share our dedication to exceptional care and outcomes. In addition to being a strong leader and providing support and leadership to the facility, the Physician Advisor will:
- The Physician Advisor directly affects hospital reimbursement, CMI, and other utilization metrics through supporting case management, close relationships with medical staff, communication and knowledge of payer practices, and responsibility for hospital utilization metrics.
- The ideal candidate will possess strong leadership skills that will play a key role in impacting the rate of observation versus inpatient care.
- Review referred medical records and addresses the clinical theory of diagnosis for admission status, continued stay and in coordination of written appeal letters to payors.
- Work with the denials/appeals team in concurrent chart review to assess denials and appropriate levels of care.
- Daily concurrent chart review as needed by the Case Managers to review current treatment plans, identify unnecessary delays in care, and assist the case managers in facilitating care with the health center and functioning as a liaison to the attending physicians in order to provide the highest quality of care in the most efficient manner possible.
- Participates in CDMP program, and addresses any cases referred by the Clinical Documentation Specialists.
About the community:
Experience the rewards of practicing with one of the leading health systems in the nation, while you discover a quality of life unique to the Oklahoma City metro area. Known as America's biggest small town, Oklahoma City offers the perfect blend of small town hospitality and metropolitan amenities. The city is experiencing unprecedented growth with more young families and businesses moving into the city limits. Western charm and hospitality abound within this growing cosmopolitan area that features diverse dining, entertainment and cultural amenities.