Guy O’Connor, MD

• Provided medical direction of utilization review staff by critically reviewing hospitalized patients' medical records.
• Conducted multiple peer-to-peer discussions with payors' medical directors giving logical medical decision making data supporting Inpatient medical decisions and payments.

HonorHealth Network, Phoenix, AZ 2014 — 2018

Network Physician Advisor

Established Physician Advisor Program for 5 hospitals in HonorHealth network. Responded to utilization review nurse team and appeals review team requests, coding case review and appeals requests, peer-to-peer payor requests, and CDI medical questions’ requests. Led Utilization Review Committees and Charity Committee medical review team.

• Decreased denials at HonorHealth hospitals by $2M per year through diligent and detailed daily chart review, improved education of nurse review teams, and revision of denials appeals process.
• Established and led 5 hospitals individual Utilization Review Committees, implementing review and billing protocols for Code 44 process and introducing Medicare one-night stay review process, bringing all hospitals in to compliance with Medicare federal regulations.
• Revised Medicare patient review process and decreased recovery audit contractor audit rates at John C Lincoln and Scottsdale Healthcare hospitals.

Oversaw 12 Urgent Care clinics in Phoenix area, performing direct patient care, as well as interviewing and hiring physicians and physician extender candidates.

• Minimized patient complaints and provider dissatisfaction and turnover by establishing and maintaining training and advancement process of all providers.

Directed 8 Urgent Care clinics in Phoenix area providing patient care, including interviewing and hiring physicians and physician extender candidates.

• Improved consistency in care provided with positive outcomes and fewer patient complaints by establishing treatment protocols for common medical conditions seen in Urgent Care.

Provided direct emergency medical care.

• Reduced mortality rate of local major trauma victims by introducing medical treatment protocols for more efficient transfers to Level 1 trauma centers.
• Increased compliance, coding accuracy, and physician-generated revenue by creating template for proper documentation of patient records by ED physicians
• Authored triage protocols for multiple types of patient encounters detailing efficiencies in patient care, improving care provided and satisfaction.

ED Staff Physician

• Teamed with other physicians, specialists, and health care providers to provide well-rounded care for complex cases.
• Provided emergent medical care and treatment for life-threatening injuries and illnesses.
• Thoroughly examined patients and elicited medical history data to use in assessing health and identifying conditions.