The Program Director provides strategic and operational leadership for hospital coding and billing programs to improve financial and clinical outcomes. They serve as a senior client-facing advisor responsible for identifying performance gaps and implementing scalable revenue cycle solutions.
The Physician Advisor conducts physician-to-physician reviews focusing on medical necessity, level of care, and denial prevention, while also supporting utilization review teams with complex clinical decisions. This role ensures appropriate admission status determinations and provides clinical oversight regarding length of stay and discharge planning.
