Logo
Brundage Group

Physician Advisor M-F

Brundage Group, St. Petersburg, Florida, United States, 33739

Save Job

Physician Advisor (M-F)

Brundage Group provides revenue cycle solutions and physician advisory services that empower hospitals nationwide to capture earned revenue, ensure compliance, and improve operational efficiency. We blend clinical thought leadership with cutting‑edge technology to help hospitals stay viable to continue serving our communities. Key Functions

Utilization Management: Review medical records, perform status determinations, review Code 44 cases, assist with length of stay management, participate in rounds, coordinate with case management and the interdisciplinary team, communicate with the medical staff, act as liaison between UM/CM and providers, review and suggest improvements related to resource allocation, optimize coordination of care processes, provide guidance to ED Physicians and the UM/CM team regarding alternatives to acute care. CDI: Review documentation for clinical validity of diagnoses, support query response and query construction, educate physicians on documentation best practices, provide feedback to clinical providers, assist with pre‑bill DRG. Quality: Review documentation to support quality metrics, educate providers on how quality is tracked and common pitfalls, review PSIs for appropriate assignment of complications. Denials Management: Review denials and author appeal letters as needed, perform peer to peers with payors, act as a liaison with payors to facilitate approvals and prevent denials or carved out days when appropriate. Knowledge, Skills, and Abilities

Expertise in Utilization Management preferred. Strong interpersonal skills. Excellent written and verbal communication skills. Ability to work independently. Ability to build relationships with key hospital team members. Experience, Education, and Certifications

MD or DO. Current, unrestricted medical license in state of residence. Demonstrated ability to build rapport with medical staff and hospital leadership. Strong computer skills and working knowledge of EMRs. Prior Physician Advisor experience or at least 3 years of clinical experience in a hospital‑based setting. Preferred Qualifications

Board Certified / Eligible. CCDS or CDIP. CCS. CHCQM certification (ABQAURP). Working Conditions and Physical Requirements

Conditions typically associated with an office environment. The employee is regularly required to talk or hear, may be frequently required to sit, stand or walk, moderate to prolonged reading, typing, and computer work. The employee is able to perform tasks involving physical activity that may include lifting 25 pounds. Subject to exposure to all environmental hazards associated with healthcare and office work.

#J-18808-Ljbffr