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Physician Advisor
Physician Advisor To serve as a liaison with providers, case managers, hospital leadership and payers on utilization management and revenue integrity. Provide education to ensure physician documentation appropriately supports the actual care provided. Responsibilities and Scope of Work: Concurrent/Pro-Active: Provide secondary reviews for appropriate patient status and level of care and discuss with the attending as appropriate. Resolve concurrent patient status and level of care disputes with payors and physicians. Provide education to physicians and case managers on denial and payor trends, MCG and admission criteria, document
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