Physician Advisor
at Ascension
Milwaukee, WI 53216, USA -
Start Date | Expiry Date | Salary | Posted On | Experience | Skills | Telecommute | Sponsor Visa |
---|---|---|---|---|---|---|---|
Immediate | 20 Dec, 2024 | Not Specified | 23 Sep, 2024 | N/A | Dental Surgery,Medicine,Optometry,Osteopathy | No | No |
Required Visa Status:
Citizen | GC |
US Citizen | Student Visa |
H1B | CPT |
OPT | H4 Spouse of H1B |
GC Green Card |
Employment Type:
Full Time | Part Time |
Permanent | Independent - 1099 |
Contract – W2 | C2H Independent |
C2H W2 | Contract – Corp 2 Corp |
Contract to Hire – Corp 2 Corp |
Description:
REQUIREMENTS
Licensure / Certification / Registration:
- Physician MD/DO credentialed from the Wisconsin Medical Examining Board obtained prior to hire date or job transfer date.
Education:
- Doctor of Medicine (MD) or Doctor of Osteopathy (DO) or Doctor of Dental Surgery (DDS) or Doctor of Dental Medicine (DMD) or Doctor of Optometry (OD) or Doctor of Podiatric Medicine (DPM) required.
Responsibilities:
Provide medical direction in the care management, clinical documentation improvement, coding, quality and/or compliance process.
- Review medical records of identified patients to assist with the level of care and length of stay determination.
- Assist and manage the denial management process. Review and offer suggestions related to resources and service management.
- Provide education to physicians and other clinicians on regulatory requirements, appropriate utilization of alternate levels of care, community resources and end of life care.
- Develop strategy and processes to reduce denials and audits. Assist with appeals.
- Utilize hospital data sources to identify & analyze patterns of over or under-utilization of services, quality metrics and makes recommendations towards achievement of those goals.
REQUIREMENT SUMMARY
Min:N/AMax:5.0 year(s)
Hospital/Health Care
Pharma / Biotech / Healthcare / Medical / R&D
Medical
Graduate
Proficient
1
Milwaukee, WI 53216, USA