CDI Physician Advisor

Overview

CDI Physician Advisor role at Advent Health.

• Clinical Documentation Improvement:
  Analyze patient medical records to identify areas where documentation needs improvement, including missing diagnoses, unclear clinical findings, or inconsistencies in treatment plans to ensure accurate representation of diagnoses, procedures, and severity of illness. Provide clinical expertise and guidance to CDI specialists and coders in clarifying documentation issues. Identify opportunities to enhance documentation to support the level of care provided. Participate in interdisciplinary case reviews and CDI meetings to drive process improvements.
  
  Work collaboratively with medical staff to ensure documentation accurately reflects the severity of illness, risk of mortality, and complexity of care.
• Physician and Staff
  
  Education:
  
  Educate physicians and advanced practice providers (APPs) on best practices in clinical documentation and coding compliance. Coordinate with GME to provide focused education on early development of documentation best practices to incoming residents and fellows. Serve as a resource for providers regarding clinical terminology, coding nuances, and regulatory requirements. Provide ongoing feedback and coaching to enhance documentation practices and compliance. Conduct physician outreach sessions to address common documentation issues and promote awareness of CDI initiatives.
• Query Support and Review:
  Assist in the development and refinement of compliant physician queries to attending physicians when clarification is needed on clinical details to ensure accurate coding. Interpret physician responses and collaborate with the CDI team to resolve any documentation discrepancies. Provide feedback on query responses and encourage a culture of accurate, thorough documentation. Participate in mortality reviews, DRG downgrade denials management, and clinical validation processes.
• Compliance and Quality Alignment:
  Ensure clinical documentation aligns with coding guidelines, CMS regulations, and hospital policies. Support hospital initiatives related to compliance, audit readiness, and quality reporting metrics. Participate in CDI-related committees and performance improvement initiatives. Collaborate with quality teams on initiatives related to hospital-acquired conditions (HACs), patient safety indicators (PSIs), and mortality reviews. Contribute to hospital-wide efforts to improve revenue integrity and performance benchmarks.

The expertise and experiences you’ll need to succeed:

Pay Range: $ - $

This facility is an equal opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances.