Physician Advisor: Hospital Throughput & Documentation Lead

Trinity Health Mid-Atlantic; Athens (GA); On-site; USD 180,000 - 260,000; Full time

Job summary

Trinity Health in Georgia is seeking an experienced Physician Advisor to optimize clinical documentation, utilization management, and hospital throughput. You will educate clinicians, guide case reviews, and collaborate with care teams to improve patient flow while ensuring compliance with CMS rules.

This full-time, 1099 position offers leadership opportunities and ongoing engagement with residents. Ideal candidates hold an MD/DO, board certification, and hospital-based care experience.

Qualifications

• Required MD or DO degree from an accredited institution.
• Board Certified in a recognized medical specialty.
• Active unrestricted medical license to practice medicine in the state of Georgia.
• Minimum of 5 years clinical practice experience.
• Experience working in hospital-based care.
• Demonstrated leadership, people management, and team building skills.
• Excellent time management skills to develop organized work processes in a high-volume environment with rapidly changing priorities.
• Ability to develop and implement strategic clinical plans.
• Excellent oral and written communication skills.
• Ability to interact effectively with key internal and external constituents using collaboration and customer service skills.

Responsibilities

• Partner with CDI specialists to improve clinical documentation accuracy and completeness.
• Provide physician-to-physician education on documentation requirements.
• Assist with case mix index (CMI) improvement initiatives.
• Review complex cases for documentation opportunities reflecting patient acuity.
• Provide physician guidance for medical necessity determinations.
• Review cases for appropriate inpatient vs observation status.
• Support case management staff with complex utilization reviews.
• Conduct peer-to-peer reviews with payers.
• Collaborate with care management teams to address barriers to timely discharge.
• Work with clinical teams to reduce avoidable length of stay and excess days.
• Participate in daily multidisciplinary rounds to address throughput challenges and delayed discharges.
• Teach residents about the role of the Physician Advisor and KPI alignment.
• Review payer denials related to medical necessity and level of care.
• Write and support clinical appeal letters and participate in denials management.
• Educate medical staff on documentation, utilization management, and efficient care delivery.
• Present findings at Medical staff meetings, service line meetings, and quality committees.

Skills

Leadership

Communication

Time management

Collaboration

Negotiation

Conflict management

Independence

Strategic planning

Education

MD or DO degree

Tools

EMR systems

Job description

Trinity Health in Georgia is seeking an experienced Physician Advisor to optimize clinical documentation, utilization management, and hospital throughput. You will educate clinicians, guide case reviews, and collaborate with care teams to improve patient flow while ensuring compliance with CMS rules.

This full-time, 1099 position offers leadership opportunities and ongoing engagement with residents. Ideal candidates hold an MD/DO, board certification, and hospital-based care experience.