Inpatient CDI Physician Advisor

Overview Catholic Health is one of Long Island’s finest health and human services agencies. Our health system has over 16,000 employees, six acute care hospitals, three nursing homes, a home health service, hospice and a network of physician practices across the island. At Catholic Health, our primary focus is the way we treat and serve our communities. We work collaboratively to provide compassionate care and utilize evidence based practice to improve outcomes – to every patient, every time. We are committed to caring for Long Island. Be a part of our team of healthcare heroes and discover why Catholic Health was named Long Island's Top Workplace! Job Details The Inpatient CDI Physician Advisor will serve as a liaison and champion with the medical staff for complete and accurate documentation to support accurate reflection of patient acuity, severity of illness, risk of mortality, and quality of care. The Physician Advisor will act as a liaison between the Inpatient CDI/Coding teams and medical providers. The Physician Advisor will support the organizational initiatives of accurate quality outcomes and the proper reflection of the high quality of care as evaluated through severity adjusted quality measures. Job Responsibilities Serve as a leader in the education and outreach with the medical staff to build understanding and support for the CDI program and how it benefits the medical staff Partner with CDI Directors, CDI Assistant Directors, and CDI Educators in the development, coordination, and presentation of provider education to improve the accuracy of documentation and the quality of patient care reported, severity of illness, risk of mortality, medical necessity and other documentation related outcomes Share key clinical documentation concepts and their importance for the hospitals and individual providers Explaining why a query was placed, and highlighting the impact on key indicators such as expected mortality and expected length of stay Hold one-on-one meetings with physicians to address areas of opportunity and respond to questions, providing feedback and education for medical staff on opportunities for documentation improvement Tailor education content and messaging to specific provider groups and specialties Include key CDI metrics and actionable data in provider education sessions to drive behavior change and gain buy in Serve as liaison between providers and the CDI/Coding teams to address areas of opportunity and questions Meet regularly with CDI System Director, CDI Directors, CDI Assistant Directors, CDI Educators, and Clinical Documentation Specialists (CDS) staff to understand current documentation opportunities and to integrate those opportunities into outreach and education efforts with the medical staff Partner with CDI Directors, CDI Assistant Directors, and CDI Educators to provide ongoing clinical education to Inpatient CDS and coding staff to assist in the ongoing growth of the team Review cases escalated by Inpatient CDI and Coding teams Participate in unanswered query escalation process by following up with physicians electronically and in-person to assist in obtaining query responses Serve as a subject matter expert and resource on interpretation and application of clinical practice and documentation strategies Collaborate with providers and medical staff leadership to create consistent definitions and documentation around complex conditions, as needed Regularly review key process and outcomes metrics related to the CDI Program Review key process metrics: provider response rates, agree rates, response times, query trends, among others Develop action plans for non-responsive providers or providers with high disagreement rates or response times Review key outcomes metrics: outcomes of escalated cases, medical and surgical comorbidity rates, capture rates for DRG triplets and pairs, most appropriate principal diagnosis selection trends, acuity for expired patients or patients discharged to hospice, expected mortality rate, observed to expected mortality ratio, among others Collaborate with CDI Program leadership in meeting with CMOs, Chairs, and Program Directors to provide updates on the CDI program, impact on quality outcome data, and strategies for ongoing improvement Develop and participate in recognition process for providers that have made significant positive impacts to the program Support organizational quality goals and objectives through CDI improvements Required Qualifications Extensive clinical knowledge; at least 7 years as a practicing, licensed physician in the acute care setting Demonstrated ability to collaborate with organizational leadership and executives Ability and willingness to educate, counsel and advise peers Demonstrates approachability and maintaining the respect of peers Ability to strategize, plan and implement change Self-motivated with ability to work independently and as part of a team Organized with attention to detail Excellent communication, and problem-solving skills Ability to interpret data and outcome metrics Proficient with technology and programs integral to clinical documentation Demonstrates understanding of CHS-LI’s culture and organizational goals Willingness to gain a working knowledge of coding rules and regulations Has genuine interest in CDI and an understanding of its impact on patient care, quality outcomes, and health system performance Salary Range USD $280,000.00 - USD $350,000.00 /Yr. This range serves as a good faith estimate and actual pay will encompass a number of factors, including a candidate’s qualifications, skills, competencies and experience. The salary range or rate listed does not include any bonuses/incentive, or other forms of compensation that may be applicable to this job and it does not include the value of benefits. At Catholic Health, we believe in a people-first approach. In addition to the estimated base pay provided, Catholic Health offers generous benefits packages, generous tuition assistance, a defined benefit pension plan, and a culture that supports professional and educational growth. The Inpatient CDI Physician Advisor will serve as a liaison and champion with the medical staff for complete and accurate documentation to support accurate reflection of patient acuity, severity of illness, risk of mortality, and quality of care. The Physician Advisor will act as a liaison between the Inpatient CDI/Coding teams and medical providers. The Physician Advisor will support the organizational initiatives of accurate quality outcomes and the proper reflection of the high quality of care as evaluated through severity adjusted quality measures. Job Responsibilities Serve as a leader in the education and outreach with the medical staff to build understanding and support for the CDI program and how it benefits the medical staff Partner with CDI Directors, CDI Assistant Directors, and CDI Educators in the development, coordination, and presentation of provider education to improve the accuracy of documentation and the quality of patient care reported, severity of illness, risk of mortality, medical necessity and other documentation related outcomes Share key clinical documentation concepts and their importance for the hospitals and individual providers Explaining why a query was placed, and highlighting the impact on key indicators such as expected mortality and expected length of stay Hold one-on-one meetings with physicians to address areas of opportunity and respond to questions, providing feedback and education for medical staff on opportunities for documentation improvement Tailor education content and messaging to specific provider groups and specialties Include key CDI metrics and actionable data in provider education sessions to drive behavior change and gain buy in Serve as liaison between providers and the CDI/Coding teams to address areas of opportunity and questions Meet regularly with CDI System Director, CDI Directors, CDI Assistant Directors, CDI Educators, and Clinical Documentation Specialists (CDS) staff to understand current documentation opportunities and to integrate those opportunities into outreach and education efforts with the medical staff Partner with CDI Directors, CDI Assistant Directors, and CDI Educators to provide ongoing clinical education to Inpatient CDS and coding staff to assist in the ongoing growth of the team Review cases escalated by Inpatient CDI and Coding teams Participate in unanswered query escalation process by following up with physicians electronically and in-person to assist in obtaining query responses Serve as a subject matter expert and resource on interpretation and application of clinical practice and documentation strategies Collaborate with providers and medical staff leadership to create consistent definitions and documentation around complex conditions, as needed Regularly review key process and outcomes metrics related to the CDI Program Review key process metrics: provider response rates, agree rates, response times, query trends, among others Develop action plans for non-responsive providers or providers with high disagreement rates or response times Review key outcomes metrics: outcomes of escalated cases, medical and surgical comorbidity rates, capture rates for DRG triplets and pairs, most appropriate principal diagnosis selection trends, acuity for expired patients or patients discharged to hospice, expected mortality rate, observed to expected mortality ratio, among others Collaborate with CDI Program leadership in meeting with CMOs, Chairs, and Program Directors to provide updates on the CDI program, impact on quality outcome data, and strategies for ongoing improvement Develop and participate in recognition process for providers that have made significant positive impacts to the program Support organizational quality goals and objectives through CDI improvements Required Qualifications Extensive clinical knowledge; at least 7 years as a practicing, licensed physician in the acute care setting Demonstrated ability to collaborate with organizational leadership and executives Ability and willingness to educate, counsel and advise peers Demonstrates approachability and maintaining the respect of peers Ability to strategize, plan and implement change Self-motivated with ability to work independently and as part of a team Organized with attention to detail Excellent communication, and problem-solving skills Ability to interpret data and outcome metrics Proficient with technology and programs integral to clinical documentation Demonstrates understanding of CHS-LI's culture and organizational goals Willingness to gain a working knowledge of coding rules and regulations Has genuine interest in CDI and an understanding of its impact on patient care, quality outcomes, and health system performance This range serves as a good faith estimate and actual pay will encompass a number of factors, including a candidate's qualifications, skills, competencies and experience. The salary range or rate listed does not include any bonuses/incentive, or other forms of compensation that may be applicable to this job and it does not include the value of benefits. At Catholic Health, we believe in a people-first approach. In addition to the estimated base pay provided, Catholic Health offers generous benefits packages, generous tuition assistance, a defined benefit pension plan, and a culture that supports professional and educational growth.