Part Time, 8am-4:30pm, Monday-Friday
St Mary Medical Center
Langhorne, PA 19047
The Physician Advisor is a physician serving the hospital through teaching, consulting, advising, and educating the Care Management Department, hospital, and medical staff on matters regarding physician practice patterns, over and under-utilization of resources, compliance, regulatory statutes, and collaborative relationships with payers.
The Physician Advisor is considered a key member of the Care Management Department's success in industry best-practice models and is a key leader charged with meeting goals of cost and outcomes in the organization. The position requires medical expertise, clinical judgment, and experience to support improvement in the appropriateness and continuum of care alternatives to support patient-centric care.
PA-licensed, board-certified physician (DO or MD).
Working knowledge of DRG reimbursement system with associated LOS, documentation concepts, and general coding guidelines.
Clear understanding of the guidelines for appropriate level of care designation as directed by the Centers for Medicaid and Medicare.
Excellent negotiation, mediation, and collaboration skills.
Excellent public speaking.
Excellent clinical review and critical analysis skills to conduct peer review audits.
St. Mary Medical Center is an equal opportunity employer.
ICD-10, regulatory, operations, healthcare, health care, Medicare regulations, providers, medical consulting, healthcare consultant, RAC, recovery audits, case management