• DRG Validator & Appeals Reviewer -Clinical…

    MetroHealth (Cleveland, OH)
    …CDIP or CCDS Certification with minimum of 3 years of CDI experience or; - CDI Second Level Reviewer with a strong understanding of disease ... of additional comorbid conditions. Conducts concurrent and retrospective medical record review on defined patient populations to identify opportunities to improve… more
    MetroHealth (11/07/24)
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  • Second Level Reviewer I

    AdventHealth (Orlando, FL)
    …Integrity Manager, and in collaboration with physicians, nursing and HIM coders, the Second Level Reviewer I strategically facilitates and obtains ... mortality, and complexity of care of the patient. The Second Level Reviewer I educates...mortality (ROM), and quality. Completes accurate and timely record review to ensure the integrity of documentation compliance. Completes… more
    AdventHealth (11/12/24)
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  • Physician(FT) - Associate Medical Director…

    Dartmouth Health (Keene, NH)
    …long-stay patients and readmission reduction. And the Physician Advisor (PA) provides second - level CDI reviews, educates providers on documentation, assists ... The PA supports Utilization Management by performing concurrent, evidence-based second - level medical necessity reviews, educating physicians on medical… more
    Dartmouth Health (11/05/24)
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  • Physician Advisor (Facility)

    Catholic Health Services (Melville, NY)
    …acts as a resource to physicians and staff related to these regulations. Perform second level reviews, peer-to-peer calls and advise on continued stay reviews ... hospitalization, LOC status, LOS management, continued stay decisions, clinical review of patients, utilization review activities, resource… more
    Catholic Health Services (11/13/24)
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  • Medical Director: Documentation & Utilization…

    Trinity Health (Boise, ID)
    level of care. Complement current physician advisor efforts at completion of second level reviews for patients not meeting inpatient criteria. C. Participates ... a Physician Advisor, and will have experience building a CDI program. This provider needs to be able to...B. Perform Physician Advisor role in determining and arbitrating level of care determinations performing Peer-to-Peer reviews with insurance… more
    Trinity Health (10/14/24)
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