WHAT IS AN physician advisor opportunity jobs
Physician advisor opportunity jobs are a specialized field within the healthcare industry that combines medical expertise with advisory roles. These professionals serve as a bridge between healthcare providers and administrators, offering guidance on medical necessity, coding and documentation, reimbursement, and other related matters. They play a crucial role in ensuring that healthcare organizations operate efficiently and effectively while adhering to regulatory guidelines and maximizing revenue.
WHAT USUALLY DO IN THIS POSITION
In this position, physician advisors typically work closely with healthcare providers, including physicians, nurses, and other clinical staff, as well as administrative personnel. They review medical records, documentation, and coding to ensure accuracy and compliance with regulatory requirements. They provide feedback and education to healthcare providers on proper coding and documentation practices to optimize reimbursement. Physician advisors also assist with appeals and denials related to insurance claims, advocating for the appropriate level of reimbursement based on medical necessity.
TOP 5 SKILLS FOR POSITION
- Medical Knowledge: Physician advisors must have a strong foundation in medical knowledge and terminology to accurately assess medical records and provide guidance on coding and documentation.
- Analytical Skills: They need to be able to analyze complex medical information and identify areas for improvement or potential issues that may impact reimbursement.
- Communication Skills: Effective communication is essential in this role, as physician advisors need to collaborate with healthcare providers and administrators to convey their recommendations and provide education on coding and documentation practices.
- Attention to Detail: Paying meticulous attention to detail is crucial in reviewing medical records and coding to ensure accuracy and compliance.
- Regulatory Knowledge: Physician advisors must stay up-to-date with the latest regulations and guidelines related to coding, documentation, and reimbursement to provide accurate and compliant guidance.
HOW TO BECOME THIS TYPE OF SPECIALIST
To become a physician advisor, one typically needs to have a medical degree (MD or DO) and clinical experience as a practicing physician. Many physician advisors have specialized training or certification in medical coding, such as the Certified Professional Coder (CPC) certification. Some also pursue additional education or certification in healthcare management or revenue cycle management to strengthen their knowledge in these areas.
AVERAGE SALARY
The average salary for physician advisors can vary depending on factors such as experience, location, and the size of the healthcare organization. According to data from the Medical Group Management Association (MGMA), the median total compensation for physician advisors in the United States was around $285,000 per year. However, it is important to note that individual salaries may vary significantly based on the aforementioned factors.
ROLES AND TYPES
Physician advisor roles can vary depending on the healthcare organization and its specific needs. Some physician advisors focus primarily on medical necessity and utilization review, ensuring that healthcare services are appropriate and necessary based on clinical guidelines. Others may specialize in documentation improvement, working to enhance the accuracy and completeness of medical records to support proper coding and billing. Additionally, physician advisors may also be involved in compliance and regulatory matters, helping organizations navigate complex healthcare regulations and guidelines.
LOCATIONS WITH THE MOST POPULAR JOBS IN USA
Physician advisor opportunities can be found in healthcare organizations across the United States. However, certain locations may have a higher demand for these professionals. Major metropolitan areas and regions with large healthcare systems, such as New York City, Los Angeles, Chicago, and Houston, often offer a greater number of job opportunities for physician advisors. Additionally, areas with a high concentration of healthcare facilities, such as the Northeast and the Midwest, may also have a higher demand for physician advisors.
WHAT ARE THE TYPICAL TOOLS
Physician advisors utilize various tools and software to perform their roles effectively. Electronic health record (EHR) systems are commonly used for reviewing medical records and documentation. Medical coding software, such as encoders and grouper software, are essential for accurate coding and reimbursement. Additionally, physician advisors may use data analytics tools to analyze trends and identify areas for improvement in coding, documentation, and reimbursement practices. Communication tools, such as email and teleconferencing software, are also important for collaborating with healthcare providers and administrators.
IN CONCLUSION
Physician advisor opportunity jobs offer a unique blend of medical expertise and advisory roles within the healthcare industry. These professionals play a vital role in ensuring that healthcare organizations operate efficiently and effectively while adhering to regulatory guidelines and maximizing revenue. With the increasing complexity of healthcare regulations and the emphasis on accurate coding and documentation, the demand for skilled physician advisors is expected to continue to grow. By combining their medical knowledge, analytical skills, and regulatory expertise, physician advisors contribute to the overall success of healthcare organizations and the delivery of quality patient care.