Requisition ID: 66726
Ministry: Corporate (LRHC and LPH)
Location: Presence St Mary Chicago
2233 West Division Street, Chicago, IL 60622 United States (US)
Department: 10010467 Physician Advisory Service
Daily Hours: 8
Standard Hours: 40
Employment Status: Full-time
Employment Type: Regular
The Physician Advisor (PA), Clinical Documentation Integrity is a key member of our physician executive team. Acts as the peer consultant to the medical staff in the areas of care coordination, clinical resource utilization and documentation. Monitors inpatient and observation unit utilization, reviews and determines appropriate patient status, coordinates care with case management, hospitalists, residents, specialists, emergency physicians and medical staff. Provides education, reviews and counsels medical staff and peer providers on appropriate clinical documentation, patient status determinations and clinical resource utilization. Develops and implements clinical practice guidelines and standard order sets and works with clinical teams to solve utilization management and clinical documentation issues.
ESSENTIAL DUTIES AND RESPONSIBILITIES
This document represents the major duties, responsibilities, and authorities of this job, and is not intended to be a complete list of all tasks and functions. Other duties may be assigned.
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Education and/or Experience
Graduate of an accredited medical school required. Minimum five years of recent experience in clinical practice. Previous experience in coding of Diagnosis Related Groupings and care plan and diagnosis documentation and working familiarity with ICD-10 required.
Utilization management (UM) experience as a member of the UM oversight committee or past physician advisor experience preferred.
Proficient in Microsoft Office software (Word, Excel, PowerPoint). Strong working knowledge of Computer Physician Order Entry and clinical information system design experience required.
Certificates, Licenses, Registrations
Licensed Physician required. Board certification in a primary care specialty required.
Business Unit: Corporate (LRHC and LPH)
Department Name: Physician Advisory Service
Job Function: Physicians and Mid-Level