Physician Advisor Acpa - C Or Chchqm Certification Preferred
NGHS
Northeast Georgia, United States
Unrestricted georgia medical license
Board certification in medicine
5-7 years physician practice experience
The Physician Advisor is a key member of the NGHS Revenue Cycle team responsible for ensuring effective, efficient, and compliant utilization of health care services
Job Summary
The Physician Advisor is a key member of the NGHS Revenue Cycle team responsible for ensuring effective, efficient, and compliant utilization of health care services.
This role requires significant educational and supportive services to providers, focusing on optimizing hospital services while maintaining high quality of care.
Candidates must possess solid foundation knowledge in Utilization Management, Quality Improvement, and Federal and State healthcare regulations.
Matching Summary
The Physician Advisor is a key member of the NGHS Revenue Cycle team responsible for ensuring effective, efficient, and compliant utilization of health care services.
Skills & Requirements
Must-have
Unrestricted Georgia medical license
Board certification in medicine
5-7 years physician practice experience
Knowledge of UR operations and metrics
Working knowledge of EMR systems
Nice-to-have
ACPA membership preferred
Strong negotiation and diplomacy skills
Experience with value-based purchasing models
Ability to work collaboratively with teams
Innovative problem-solving capabilities
Key Requirements
Hold unrestricted medical license in Georgia
Medical Degree with Board certification required
Five to seven years physician practice experience
Member of NGHS medical staff
Knowledge of InterQual/MCG criteria
Work Rights
Must have US work authorization (implied by state license requirement)