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Physician Advisor for Clinical Documentation Improvement

adventhealth · Fm Ah Admin / Reflections Bldg

Senior 🇬🇧 English
ICD-10-CM ICD-10-PCS MS-DRG CMS regulations CDI

Job description

About the role

AdventHealth is hiring a Physician Advisor for Clinical Documentation Improvement (CDI) in its Ormond Beach, Florida facility. The Physician Advisor is a board-certified physician who acts as clinical leader and liaison between the CDI department, physicians and coding/billing teams. The role ensures that clinical documentation accurately reflects the complexity of patient care, supports optimal reimbursement and meets regulatory standards.

Key responsibilities

  • Analyze patient medical records to find documentation gaps such as missing diagnoses, unclear findings or inconsistent treatment plans.
  • Guide CDI specialists and coders, educate physicians and advanced practice providers on documentation best practices and coding compliance, and coach providers on clinical terminology and regulatory requirements.
  • Take part in case reviews, CDI meetings, mortality reviews, DRG downgrade denial management and clinical validation, and support hospital initiatives on compliance, audit readiness and quality reporting.
  • Coordinate with GME to teach documentation best practices to incoming residents and fellows, and run physician outreach sessions.
  • Help develop compliant physician queries, interpret physician responses and resolve documentation discrepancies with the CDI team.
  • Monitor CDI metrics such as LOS and GMLOS variance, Case Mix Index and MCC/CC capture rate, prepare regular reports and recommend ways to optimize reimbursement and quality.
  • Collaborate with quality teams on hospital-acquired conditions, patient safety indicators and mortality reviews, and stay current on ICD-10-CM, CPT, CMS and DNV changes.

Required profile

  • Medical Doctor (MD) or Doctor of Osteopathic Medicine (DO).
  • 3+ years of experience; direct CDI program experience preferred.
  • Demonstrated interest or experience in clinical documentation improvement, coding or revenue cycle management.
  • Ability to work with physicians, CDI professionals and hospital administration.

Required skills

  • Knowledge of CDI principles, ICD-10-CM and ICD-10-PCS coding guidelines, MS-DRG assignment and CMS regulations.
  • Familiarity with EHR systems and CDI software preferred.
  • Preferred: CDI, coding or compliance certification (ABQAURP or ACPA), experience teaching clinical staff, data analysis and performance improvement experience, and HQCM or BLS certification.

What we offer

  • Medical, dental, vision, life and disability insurance, paid time off and a 403(b) retirement plan.
  • 4 weeks of fully paid parental leave, career development and well-being resources.
  • Full-time day shift.

Questions fréquentes

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Source : ats:workday

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Published 1 week ago

Expires 1 month from now

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adventhealth

Fm Ah Admin / Reflections Bldg