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Medical Director
1 month ago
Ascension Wisconsin seeks a skilled Medical Director to provide medical direction in the care management, clinical documentation improvement, coding, quality and/or compliance process. The ideal candidate will have a strong background in medicine and the ability to review medical records to assist with the level of care and length of stay determination.
Responsibilities- Provide medical direction in the care management, clinical documentation improvement, coding, quality and/or compliance process.
- 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 processes 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 makes recommendations towards achievement of those goals.
- Physician MD/DO credentialed from the Wisconsin Medical Examining Board obtained prior to hire date or job transfer date.
- 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.
Ascension Wisconsin has been providing rewarding careers to healthcare professionals since 1848. As a leading non-profit, faith-based national health system, we offer a range of benefits and opportunities for growth and development. Our associates are empowered to give back, volunteer and make a positive impact in their community.
