Physician Advisor CDI (Part Time)

At Virtua Health, we exist for one reason – to better serve you. That means being here for you in all the moments that matter, striving each day to connect you to the care you need. Whether that's wellness and prevention, experienced specialists, life-changing care, or something in-between – we are your partner in health devoted to building a healthier community.

If you live or work in South Jersey, exceptional care is all around. Our medical and surgical experts are among the best in the country. We assembled more than 14,000 colleagues, including over 2,850 skilled and compassionate doctors, physician assistants, and nurse practitioners equipped with the latest technologies, treatments, and techniques to provide exceptional care close to home. A Magnet-recognized health system ranked by U.S. News and World Report, we've received multiple awards for quality, safety, and outstanding work environment.

In addition to five hospitals, seven emergency departments, seven urgent care centers, and more than 280 other locations, we're committed to the well-being of the community. That means bringing life-changing resources and health services directly into our communities through our Eat Well food access program, telehealth, home health, rehabilitation, mobile screenings, paramedic programs, and convenient online scheduling. We're also affiliated with Penn Medicine for cancer and neurosciences, and the Children's Hospital of Philadelphia for pediatrics.

Location:

Employment Type:

Employment Classification:

Time Type:Part time

Work Shift:1st Shift (United States of America)

Total Weekly Hours:

* Must live within a commutable distance to Marlton NJ.

Job Summary:

Functions in a physician advisory capacity to support the objectives of the Clinical Documentation Improvement (CDI) program by performing documentation reviews to identify opportunities to best reflect the diagnoses and treatment of the patient, including appropriate severity of illness, expected risk of mortality, and complexity of care. Partners with CDI and Health Information Management (HIM) teams on the approach and plan to engage and educate physicians on key CDI concepts that will accurately reflect high quality care that justifies resource consumption and length of stay. Utilizes an influential and collaborative approach with members of the medical staff and CDI/HIM team to create awareness, understanding and support of the CDI program. Serves as a liaison between the members of the care team and CDI/HIM team.

Position Responsibilities:

Provides clinical support to CDI and HIM teams:

• Identifies documentation improvement opportunities.
• Provides insight on challenging documentation concepts.
• Performs documentation reviews on cases requiring additional physician input.

Accountable for physician engagement and education regarding CDI concepts. Partners with the CDI team to conduct regular outreach and education with the medical staff including onboarding, physician meetings, and individual discussions.

Supports the appeal process for clinical DRG downgrades by:

• Performing second level reviews

• Identifies clinical indicators to support validation of diagnoses.
• Formulates appeals and clinical responses to denials.
• Educates physicians as appropriate on techniques to improve documentation to prevent future denials.

Partners with CDI leadership on an approach and plan for physician responses to queries, including escalation assistance. This includes engaging the physician in 1:1 communication and identifying opportunities to establish best practices.

With CDI program leadership, reviews and analyzes data on outcomes, quality ratings, and case scenarios. Communicates outcomes and results to medical staff leadership.

Supports organizational quality initiatives by educating on various CDI concepts to accurately reflect high quality care and outcome measures.

Position Qualifications Required:

Required Experience:

2 years or more practicing as a physician specializing in inpatient hospital medicine (Hospitalist, ER, or medical sub specialist who concentrates on hospital medicine). Extensive knowledge of all of the medical specialties.

Required Education:

MD/DO degree.

Training / Certification / Licensure:

Current NJ Medical License required. Must be Board eligible or Board Certified in training specialty. Must be proficient in the use of technology to review clinical cases in EMR and document outcomes in CDI systems.