Physician Advisor Opportunity – Support Clinical Excellence with Impactful Leadership

job
  • University Hospitals
Job Summary
Location
Cleveland ,OH 44106
Job Type
Contract
Visa
Any Valid Visa
Salary
PayRate
Qualification
BCA
Experience
2Years - 10Years
Posted
03 Feb 2025
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Job Description

Why Join Us?

  • Lead impactful initiatives to enhance clinical documentation and ensure optimal patient care.
  • Collaborate with leadership and healthcare teams to drive efficiency, compliance, and improved outcomes.
  • Be part of a program focused on quality, regulatory excellence, and innovative solutions.

Position Overview

As a Physician Advisor (PA), you will play a pivotal role in supporting the Physician Advisor program for University Hospitals. Reporting to the System PA Lead, you will:

  • Develop and implement training programs to sustain adherence to clinical documentation standards.
  • Ensure appropriate care levels, settings, and accurate patient documentation to reflect severity of illness, risk of mortality, and reimbursement alignment.
  • Act as a liaison between care teams, medical staff, third-party payers, and leadership to coordinate clinical reviews, discuss cases, and recommend appropriate levels of care.

Key Responsibilities

  • Provide consultation to attending physicians on hospitalization appropriateness, resource utilization, and documentation accuracy.
  • Support regulatory compliance and technical billing through expertise in state, federal, and coding guidelines.
  • Collaborate across teams to improve:
    • Patient and family experiences.
    • Documentation accuracy and reimbursement processes.
    • Inpatient throughput efficiency from admission to discharge.
  • Build strong relationships with leadership, staff, and providers to reduce denials and enhance reimbursement.

Qualifications

Education

  • M.D. required

Preferred Credentials

  • Membership with the American College of Physician Advisors (ACPA) is a plus.

Experience & Skills

  • Preferred: Hospitalist experience with a solid foundation in utilization management, clinical documentation integrity, quality improvement, patient safety, and hospital operations.
  • Proficiency with EMRs, MCG, InterQual criteria, and ICD-10 coding guidelines.
  • Strong analytical and problem-solving skills.
  • Proven ability to foster collaboration with medical staff and leadership.
  • Exceptional communication and presentation abilities.

What You’ll Achieve

  • Positive patient, family, and provider experiences.
  • Compliance with regulatory and payer requirements.
  • Standardized and efficient service delivery across care settings.
  • Strengthened team collaboration and decreased reimbursement denials.

Make an Impact – Apply Today!

Take the next step in your career and lead with purpose. Join a team that values excellence, innovation, and collaboration to deliver exceptional patient care.