Physician Advisor (Remote)

UVA Health Northern Virginia & Culpeper • , VA

4d • $250,000 - $350,000 • Hybrid

About The Position

UVA Health is seeking an experienced Physician Advisor to provide physician leadership across Utilization Management (UM), Clinical Documentation Integrity (CDI), Coding, and Case Management. This remote role focuses on medical necessity, regulatory compliance, documentation improvement, and advancing quality and operational outcomes. Join a dedicated and collaborative team that is valued by health system leadership for this unique skillset.

Requirements

• MD or DO
• Board Certified in Family Medicine, Internal Medicine or Pediatrics
• Eligible for Virginia medical licensure
• Knowledge of CMS regulations and MCG/InterQual guidelines
• Excellent communication and collaboration skills

Nice To Haves

• Prior Utilization Management experience preferred

Responsibilities

• Perform medical necessity reviews using MCG and/or InterQual
• Support CMS compliance, including the 2-Midnight Rule and inpatient status determinations
• Partner with Case Management, CDI, and physician teams to improve documentation and patient flow
• Provide physician education, documentation feedback, and CDI query support
• Conduct peer-to-peer reviews and assist with denial prevention and appeals
• Participate in quality, compliance, and operational improvement initiatives

What This Job Offers

• Job Type: Full-time
• Career Level: Senior