Physician reviewers perform audits on all medical records contained in a health care facility. Also known as medical auditors, they review the data to ensure the accuracy of the record as well as assess the quality of patient care.
PRINCIPLE JOB RESPONSIBILITIES:
.Provides broad-based input into the design of the clinical information system protocols.
.Facilitates clinician advisory groups in the design of clinical systems to support excellence in patient care plans.
.Reviews medical informatics trends, experiences and approaches, develops technical and application implementation strategies and protocols.
.Works in concert with Business Analysts (BA) and Subject Matter Experts (SME) to design and implement systems supporting care management and physician engagement regimens.
.Facilitates design of clinical pathway models with physician, nursing and administrative leadership, and will assist in modification and annual review of these models to gain maximum efficacy.
.Provides input into the development of clinical rules supporting identification, care management plans, potential gaps in care and protocol research as well as the design of clinical system features supporting protocol management and the use of the system to leverage the clinicians' time and maximize communication among stakeholders.
.Participates in development and deployment of solutions that cluster information in disease and episodic categories for benchmarking, clinical severity, and variance analysis. Designs and evaluates collection of data for clinical purposes, including tracking and interpretation of outcomes.
.Participates in determining content and design of care management and provider reports.
.Ability to conduct worldwide medical/clinical literature, regulatory and program research to develop innovative health promotion and medical/behavioural health management programs.