Robert S. Marcus Md, Facog Email & Phone Number

United States

• Provides executive leadership to Physician Reviewers and oversees their productivity, production, and decision letter quality
• Oversees, directs and monitors quality and continuous improvement of the quality assurance program
• Renders medical necessity case decisions and decisions based on federal and state legal and regulatory documents as required
• Provides executive leadership in support of accurate and timely processing of higher level appeals
• Creates and builds relationships and collaborates with external entities to improve the appeals process and support company decisions

Physician Reviewer for Medicare Part B Second Level Appeals.

Remote

The Physician Advisors in LOC address level of care for Accretive Health's hospital clients. They review the medical record remotely and recommend the most compliant registration - whether inpatient, outpatient, or observation - based on the documentation available. They also 1) Actively engage with attending physicians when concurrent or retrospective.

800 Cummings Park Dr # 6000, Woburn, MA 01801

As a board certified physician and AHIMA Approved ICD-10-CM/PCS Trainer, performed direct, on-site training of hospital and healthcare system providers and staff in documentation and coding in ICD-10. Provided clinical expertise and coding knowledge in the development of ICD-10 training materials. Demonstrated to providers the workflows and effective use.

Franklin, TN

Contract as Divisional ICD-10 Director for large healthcare company. Coordinated the implementation of ICD-10 coding systems and processes. Directed provider and staff ICD-10 training activities and ICD-10 related, clinical operations process remediation. Interfaced with information technology managers and directors in payer testing, application testing.

USA

• Physician consultant in the array of TrustHCS Consulting Services, including ICD-10 Education, Physician Practice Services, and Clinical Documentation. TrustHCS provides Auditing, Education, Interim Management.
• Contributed to completion of multiple ICD-10, physician education PowerPoint presentations.
• Contributed to enhancement of multiple ICD-10-CM/PCS training PowerPoint presentations
• Member of successful ICD-10-CM/PCS training teams at hospitals and large healthcare systems.

Austin, Texas Area

• Served as subject matter expert, clinical advisor, forms designer, user tester, and patient safety officer to all subdivisions, adding extensive clinical and technical expertise and experience to product management.
• Resolved providers' concerns at 3 major client sites as physician member of vendor site-visit teams.
• Fulfilled provider requests for speech-to-text narrative generation by leading product development and implementation of 9 documentation templates.
• Initiated processes and led projects that resolved 8 patient safety issues as Chair of the Patient Safety Group
• Designed and developed 3 enhancements of labor and delivery documentation templates to enable 2 clients to more thoroughly document labor progress and fetal status.
• Provided content and advice for very well-received demonstration version of new product.

Austin, Texas Area

• Managed clinical information systems template team, developed and designed forms, served as subject matter expert, and co-led certification team. Provided clinical perspective and advice to sales, support.
• Increased medical specialties addressed by application from 2 to 10 by leading design/development of templates.
• Expanded template team from 3 to 9 members.
• Achieved complete Stage 1 Meaningful Use ONC and CCHIT certification by co-leading certification team.

Odessa/Midland, Texas Area

• Instructed, trained, and supervised medical students and residents. Directed OB/GYN Residency Training Program. Designed, developed, and maintained prenatal EHR as project co-leader.
• Co-designed and developed a prenatal EMR, allowing rapid, timely access of vital prenatal data.
• Led residency-training program to ACGME (Accreditation Council for Graduate Medical Education) certification.
• Recognized for excellence in medical education (2 awards).

In my clinical years I had a number of leadership positions, many of which are not listed in my resume. Details are available in my academic CV. They include:- Director of the Residency Training Program at Texas Tech University Health Sciences Center (Permian Basin).-Chair of Department of OB/GYN - Ogden Regional Medical Center - Ogden, Utah.-Chair of the.

Ogden, Utah

• Served as Epic Super-User. Participated as member of the EHR Steering Committee that chose Epic. Consulted for Epic in development of prenatal module.
• Contributed to the increase in provider acceptance and adoption of the EHR.
• Independently consulted for Epic during the early development of their very successful prenatal offerings.

Md, Medicine

Residency - OB/GYN

Ba, Pre-Med