Physician Advisor: Care Continuity & Denial Appeals

Aria Health; Philadelphia (Philadelphia County); On-site; USD 180,000 - 260,000; Full time

Job summary

Jefferson Health in Philadelphia seeks a Physician Advisor to provide consultation on level of care, resource utilization, discharge planning, and documentation accuracy. You will collaborate with physicians to improve care efficiency, address payor denials, and streamline transitions of care.

This role requires a Medical Degree and at least five years delivering direct patient care in a hospital setting, plus PA medical licensure upon hire.

Qualifications

• MD degree required and eligible for medical licensure in Pennsylvania.
• Strong clinical judgement and decision-making skills.
• Experience improving care transitions and documentation.

Responsibilities

• Consult on level of care, resources, and discharge planning.
• Lead peer-to-peer reviews to overturn payer denials.
• Support providers and case managers to determine appropriate care levels.
• Assist in expedited discharges and clinical documentation improvements.

Skills

Clinical consultation

Peer to peer reviews

Discharge planning

Documentation improvement

Communication

Collaboration

Education

Medical Degree

Job description

Jefferson Health in Philadelphia seeks a Physician Advisor to provide consultation on level of care, resource utilization, discharge planning, and documentation accuracy. You will collaborate with physicians to improve care efficiency, address payor denials, and streamline transitions of care.

This role requires a Medical Degree and at least five years delivering direct patient care in a hospital setting, plus PA medical licensure upon hire.