Regional Physician Advisor Position (Eastern/Peninsula) Coastal Virginia Near the Beach

Sentara Health•Williamsburg, VA

67d•Onsite

About The Position

Make a broader impact beyond patient care and help shape healthcare delivery at Sentara Health. As a Regional Physician Advisor, you'll leverage your clinical expertise to influence patient outcomes, support physician engagement, and drive quality, compliance, and operational excellence while partnering with physicians and leaders across the health system. Sentara Health is seeking to hire a qualified individual to join our team as Regional Physician Advisor.

Requirements

Completion of Medical doctorate or Doctor of Osteopathy degree from an accredited medical school
Completion of an accredited residency training program
Minimum of 5 years of clinical experience, hospital clinical experience strongly preferred
Minimum of 2 years of physician advisory experience strongly preferred
Active and unrestricted state Virginia medical license
Board certification in specialty required at time of hire
Posess or acquire a thorough understanding of CMS regulatory guidance and requirements as they pertain to UR and site of service decisions
Possess a working knowledge of clinical documentation integrity, hospital billing and coding processes and guidelines, case mix index, and DRG assignments.
Familiarity with standard published leveling criteria such as MCG/Interqual and ability to apply professional judgment and patient specific variables as may be necessary or justifiable.
Familiarity with (Hospital) organization and case management operations
Excellent customer service and interpersonal skills.
Able to effectively present information, both formal and informal
Superb written and verbal communications skills
Strong organizational and analytic skills, and ability to set and manage priorities
Demonstrate flexibility, teamwork, and a collaborative leadership style
Strong technical/computer skills and working knowledge of the system’s EMR
Ability to provide a consistent on-site presence at assigned sites

Responsibilities

Supports the Clinical Revenue Cycle’s Utilization Review and Denials/Appeals processes to determine and secure appropriate level of care assignments to ensure compliant billing, assist with denials management, support documentation integrity as it pertains to accurate coding capture.
Interfaces with hospital and medical staff leadership, facilitating communication between Revenue Cycle leadership and processes and the hospital facilities and championing processes and initiatives.
Assists with both formal and informal education of medical staff at Sentara hospital facilities.
Responsible for supporting and meeting the Clinical Revenue Cycle functions organizational goals and objectives for assuring the effective, efficient utilization of health care services.

Benefits

Medical, Dental, Vision plans
Adoption, Fertility and Surrogacy Reimbursement up to $10,000
Paid Time Off and Sick Leave
Paid Parental & Family Caregiver Leave
Emergency Backup Care
Long-Term, Short-Term Disability, and Critical Illness plans
Life Insurance
401k/403B with Employer Match
Tuition Assistance – $5,250/year and discounted educational opportunities through Guild Education
Student Debt Pay Down – $10,000
Pet Insurance
Legal Resources Plan
Colleagues may have the opportunity to earn an annual discretionary bonus if established system and employee eligibility criteria is met