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Texas Health Resources Physician Advisor Revenue Cycle - Utilization Management in Arlington, Texas

Physician Advisor Revenue Cycle

We’re looking for a Physician Advisor Revenue Cycle like you to join our Texas Health family.

Position Highlights

  • Work location: Texas Health Resources Corporate Office – 612 E Lamar Blvd, Arlington, Texas

  • Work environment: Physician Advisors – Utilization Management

  • Work hours: Monday – Friday 8:00am -5:00pm, this role requires some flexibility

  • Salary range: $114.01 - $174.10 per hour (based on relevant experience)

At Texas Health Resources, our mission is “to improve the health of the people in the communities we serve”.

We are one of the largest faith-based, nonprofit health systems in the United States with a team of more than 23,000 employees of wholly owned/operated facilities plus 2,200 employees of consolidated joint ventures in the greater Dallas Fort Worth area. Our career growth and professional development opportunities are top-notch, and our benefits are equally outstanding.

Join our award-winning Texas Health family and become a part of a team that is improving the health of our communities daily. You belong here.

Qualifications

Education

  • M.D. or D.O. Graduate of an accredited medical or osteopathic school required.

Experience

  • 5 years of hospital expereince or clinical practice Required

  • Previous expereince with coding Diagnosis Related Groupings and care plan and diagnosis documentation and working familiarity with ICD-10 preferred.

  • Experience with utilization management (UM) expereince as a member of the UM oversight committee or past physician advisor expereince preferred.

Licenses/Certifications

  • MD – Medical Doctor Upon Hire Required

  • Other Certification PAC-CDI, HCQM, CHCQM-PHYADV Upon Hire Preferred

Position Responsibilities

  • Provides subject matter expertise with medical oversight to clinical documentation improvement, health information, coding, data integrity, central business office, revenue cycle, compliance services, legal and payor relations

  • Monitors documentation and audits patient records concurrently and retroactively for improvement to hospitalists, residents, specialists, emergency physicians and medical staff. Provides education, reviews and counsels medical staff and peer providers on appropriate clinical documentation, patient status determinations and clinical resource utilization.

  • Develops and implements clinical practice guidelines and works with utilization management physician advisors to solve clinical documentation issues.

Skills

Knowledge of medical billing, payor contracts and healthcare business processes.

Strong understanding of medical billing/coding, with understanding of various insurance carriers, including Medicare, private HMOs, and PPOs.

Excellent client facing and presentation skills.

Exceptional written, verbal and interpersonal communication skills required.

Professional demeanor; self-motivation and innovation.

Proficient in Microsoft Office software (Word, Excel, PowerPoint). Strong working knowledge of Computer Physician

Order Entry and clinical information system design experience required. Have the ability to manage information located in multiple software systems.

Why Texas Health As a Texas Health employee you’ll enjoy top-notch benefits including 401(k) with match, paid time off, competitive health insurance choices, healthcare and dependent care spending account options, wellness programs to keep you and your family healthy, tuition reimbursement, a student loan repayment program and more.

At Texas Health, our people make this a great place to work every day. Our inclusive, supportive, people-first, excellence-driven culture make Texas Health a great place to work.

Here are a few of our recent awards:

  • 2021 FORTUNE Magazine’s “100 Best Companies to Work For®” (7th year in a row)

  • Becker's Healthcare "150 Great Places to Work in Healthcare" (4 years running)

  • “America’s Best Employers for Diversity” list by Forbes

  • A “100 Best Workplaces for Millennials" by Fortune and Great Place to Work®

Explore our Texas Health careers site for info like Benefits , Job Listings by Category , recent Awards we’ve won and more.

Do you still have questions or concerns? Feel free to email your questions to recruitment@texashealth.org

Employment opportunities are only reflective of wholly owned Texas Health Resources entities.

We are an Equal Opportunity Employer and do not discriminate against any employees or applicant for employment because of race, color, sex, age, national origin, religion, sexual orientation, gender identity, status as a veteran, and basis of disability or any other federal, state or local protected class.

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