Physician Advisor ACPA - C or CHCHQM Certification Preferred

Job description

Job Category: Physician Provider Work Shift/Schedule: 8 Hr Morning - Afternoon Northeast Georgia Health System is rooted in a foundation of improving the health of our communities. About the Role: Job Summary The Physician Advisor is a key member of the NGHS Revenue Cycle team and is charged with meeting the organization's goals and objectives for assuring effective, efficient, and compliant utilization of health care services. The role includes significant educational and supportive services, working with providers and hospital staff. The Physician Advisor shall develop expertise on matters regarding physician practice patterns, over and under utilization of resources, medical necessity, levels of care, care progression, denial management, compliance with governmental and private payor regulations, and documentation requirements. The role works closely with the entire medical staff, including resident physician house staff, all areas of resource management, Utilization Management and Case Management to develop and implement methods to optimize use of hospital services for all patients while also ensuring the quality of care provided. Concurrent communication with medical staff wil...