Physician Advisor (Remote)
UVA Community Health•Manassas, VA
•$250,000 - $350,000•Remote
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
Benefits
- Equal opportunity employer status
Stand Out From the Crowd
Upload your resume and get instant feedback on how well it matches this job.
Upload and Match Resume
What This Job Offers
Job Type
Full-time
Career Level
Senior
