- Highmark Health (Pittsburgh, PA)
- …**Job Description :** The **Allegheny Health Network (AHN)** is recruiting a full-time ** Physician Advisor ** to join our team located in **Pittsburgh, PA** . ... appropriateness of the setting for the administration of that care. The Physician Advisor is responsible for level of care reviews and peer-to-peer discussions… more
- Intermountain Health (Harrisburg, PA)
- …to coding questions received by facility caregivers including CDI RNs, Quality and Physician Advisor Services MDs. This position supports higher level analytics ... Association (AHIMA). This position provides advanced training to CDI RNs and Physician Advisor Services MDs on ICD-10 and DRG code assignment for hospitals. It… more
- UPMC (Media, PA)
- …+ Develops and maintains effective relationships with providers. + Serves as physician advisor for UPMC Passavant McCandless and UPMC Passavant Cranberry ... would join a highly educated and motivated team of physician advisors at CCBHO who advocate well for the...agencies with regard to psychiatric services. + Serve as advisor to quality departments from a regional perspective. +… more
- Penn Medicine (Philadelphia, PA)
- …case manager conducts utilization management activities, communication with insurers, team, and physician advisor . Discharge planning activities such as : home ... appropriate use of internal resources, communication with interdisciplinary care team and Physician Advisor , with timely coordination of home care, DME,… more
- Penn Medicine (Philadelphia, PA)
- …appropriate use of internal resources, communication with interdisciplinary care team and Physician Advisor , with timely coordination of home care, DME, ... use of internal resources, communication with interdisciplinary care team and Physician Advisor Discharge planning activities: timely coordination of home… more
- UPMC (Pittsburgh, PA)
- …requirements and that chart documentation supports LOC determination. + Works with Physician Advisor and Attending Physicians to obtain necessary documentation ... leadership role in concurrent denial process. Works with Care Management Director, Physician Advisor , Attending Physicians and clinical team to obtain necessary… more
- St. Luke's University Health Network (Allentown, PA)
- …In collaboration with the appropriate clinical staff, including but not limited to Physician Advisor , Chief of Services, CDMP leadership team, etc., facilitates ... program in use for clinical documentation management program. Work with the physician advisor in review of patient medical records identified by RAC/MIC/QIO and… more
- Penn Medicine (Philadelphia, PA)
- …appropriate use of internal resources, communication with interdisciplinary care team and Physician Advisor , with timely coordination of home care, DME, ... use of internal resources, communication with interdisciplinary care team and Physician AdvisorDischarge planning activities: timely coordination of home care, DME,… more
- UPMC (Washington, PA)
- …Assists with management of departmental budget. + Collaborates with Director, Medical Director/ Physician Advisor and staff to ensure effective processes and ... systems are established and maintained to meet department goals. + Participates in leadership development. + Functions as a resource person for the care management and denial management processes. + Coordinates daily flow of the department (this includes… more
- St. Luke's University Health Network (Allentown, PA)
- …assignment of documented medical care for appropriate reimbursement. + Work with the physician advisor in review of patient medical records identified by ... RAC/MIC/QIO and other governmental or commercial payor auditors in retrospective reviews for DRG and documentation or coding-related issues. + Develop and apply appeal arguments and draft appeal letters to support and defend the codes assigned by the coding… more