Physician Advisor - Baylor St. Luke's Medical Center (Assistant Professor)

Baylor College of Medicine; Houston (TX); On-site; USD 180,000 - 250,000; Full time

Job summary

Baylor College of Medicine seeks a Physician Advisor for Baylor St. Luke's Medical Center. The role requires collaboration with clinical teams to ensure compliance and quality in patient care. Responsibilities include documentation oversight, case management support, and improvement of care processes. An ideal candidate will have significant clinical experience, knowledge of CMS regulations, and proven leadership skills.

Benefits

Malpractice insurance

Comprehensive medical/vision/dental coverage

Retirement funds

Funding for CME activities

Shared administrative support

Qualifications

• Minimum 5 years clinical practice experience, preferably hospital-based.
• Experience in utilization management or care management preferred.
• Strong knowledge of CMS regulations and medical necessity criteria.

Responsibilities

• Provide expert guidance on clinical care and documentation compliance.
• Act as a liaison for medical staff and hospital administration.
• Monitor key performance metrics related to patient care quality.

Skills

Communication

Leadership

Clinical Documentation

Utilization Management

Regulatory Knowledge

Education

M.D. or D.O.

Board certification in internal medicine

Tools

Epic

Job description

Physician Advisor - Baylor St. Luke's Medical Center (Assistant Professor)

Join to apply for the Physician Advisor - Baylor St. Luke's Medical Center (Assistant Professor) role at Baylor College of Medicine

Physician Advisor - Baylor St. Luke's Medical Center (Assistant Professor)

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Join to apply for the Physician Advisor - Baylor St. Luke's Medical Center (Assistant Professor) role at Baylor College of Medicine

Baylor College of Medicine and Department Summary:

The Section of General Internal Medicine at Baylor College of Medicine is dedicated to excellence in patient care, education, scholarly activities, and community engagement. As general internists, we apply scientific knowledge, clinical expertise and compassion to prevention, screening, diagnosis, and treatment of adult patients with a broad spectrum of medical conditions. We care for diverse patients in primary care outpatient settings as well as hospitalized patients. Our collaborative interdisciplinary teams practice at Baylor Medicine Clinic, Baylor St. Luke's CHI Hospitals (Medical Center, Sugarland, Vintage, Woodlands), Harris Health System (Ben Taub Hospital and Smith Clinic) and Michael E. DeBakey Veterans Affairs Medical Center.

Summary

The Section of General Internal Medicine at Baylor College of Medicine is seeking a Physician Advisor to provide services at Baylor St. Luke's Medical Center. The ideal candidate serves as an in-person clinical resource and liaison between the medical staff, hospital administration, and case management to support best practices in utilization management, clinical documentation, compliance, and quality of care.

Job Duties

• Provide expert guidance to ensure clinical care, documentation, and utilization align with CMS regulations, Conditions of Participation (CoPs), and hospital compliance standards.
• Support Case Management (CM), Utilization Management (UM), and Clinical Documentation Integrity (CDI) teams through secondary case reviews, troubleshooting, and physician education.
• Act as a liaison and peer educator for medical staff, translating regulatory and documentation requirements into actionable clinical practice improvements.
• Collaborate with hospital leadership and clinical committees to design and implement processes that enhance patient care quality, efficiency, and resource stewardship.
• Serve as Chair of the Utilization Review Committee, providing administrative and clinical oversight on utilization and documentation issues.
• Resolve complex cases involving delays in care, medical necessity determinations, or provider non-response by directly engaging with physicians and departmental teams.
• Assist in denial management and appeal processes, including peer-to-peer reviews and analysis of clinical validation denials from payors.
• Drive improvements in documentation quality and financial performance, impacting metrics like Length of Stay (LOS), Case Mix Index (CMI), and reduction of avoidable days and denials.
• Monitor and influence key performance metrics, such as length of stay, avoidable days, condition code 44s, and query response rates, while supporting financial performance through appropriate status assignments and diagnosis capture.
  
  

Benefits include malpractice insurance, comprehensive medical/vision/dental coverage, retirement, funds for CME related activities, and shared administrative support.

Minimum Qualifications

• M.D. or D.O. with an active, unrestricted medical license.
• Board certification in internal medicine.
• Minimum of 5 years clinical practice experience (hospital-based preferred).
• Experience in utilization management, physician advising, or care management preferred.
• Strong knowledge of CMS regulations, medical necessity criteria, and hospital operations.
• Excellent communication, interpersonal, and leadership skills.
  
  

Preferred Qualifications:

• Certified Physician Advisor: CHCQM-PHYADV or ACPA-C
• Experience with Epic
• Prior experience in a large hospital or health system.
  
  

Baylor College of Medicine is an Equal Opportunity/Affirmative Action/Equal Access Employer.

Seniority level

• Seniority level

  Mid-Senior level

Employment type

• Employment type

  Full-time

Job function

• Job function

  Other

• Industries

  Higher Education

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