Pediatrician Advisor
3 weeks ago
We are seeking a Board-certified Pediatrician to serve as a full-time Physician Advisor at Ascension Texas. The ideal candidate will provide medical direction in the care management, clinical documentation improvement, coding, quality and/or compliance process.
Responsibilities
• Review medical records of identified patients to assist with the level of care and length of stay determination.
• Assist and manage the denial management process. Review and offer suggestions related to resources and service management.
• Provide education to physicians and other clinicians on regulatory requirements, appropriate utilization of alternate levels of care, community resources and end of life care.
• Develop strategy and process to reduce denials and audits. Assist with appeals.
• Utilize hospital data sources to identify & analyze patterns of over or under-utilization of services, quality metrics and make recommendations towards achievement of those goals.
Requirements
• Physician MD/DO credentialed from the Texas Medical Board obtained prior to hire date or job transfer date required.
• Doctor of Medicine (MD) or Doctor of Osteopathy (DO) or Doctor of Dental Surgery (DDS) or Doctor of Dental Medicine (DMD) or Doctor of Optometry (OD) or Doctor of Podiatric Medicine (DPM) required.
About Ascension
Ascension is a leading non-profit, faith-based national health system made up of over 134,000 associates and 2,600 sites of care, including more than 140 hospitals and 40 senior living communities in 19 states. Our Mission, Vision and Values encompass everything we do at Ascension. Every associate is empowered to give back, volunteer and make a positive impact in their community.
Equal Employment Opportunity Employer
Ascension will provide equal employment opportunities (EEO) to all associates and applicants for employment regardless of race, color, religion, national origin, citizenship, gender, sexual orientation, gender identification or expression, age, disability, marital status, amnesty, genetic information, carrier status or any other legally protected status or status as a covered veteran in accordance with applicable federal, state and local laws.
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