Physician Advisor: Payor Peer Review (Remote)

R1 RCM, Inc.; United States; Remote; USD 150,000 - 199,000; Full time

Job summary

R1 RCM, Inc. in the United States is seeking a Physician Advisor to help clients navigate compliant revenue by reviewing payor peer-to-peer cases.

You will evaluate denied authorizations, verify documentation for admission status, procedure, and care setting, and advise on the appropriateness of requests. This remote role requires strong clinical knowledge across multiple areas, independent performance in a fast-paced environment, and proficiency with basic computer skills.

Qualifications

• Active, unrestricted MD or DO medical licensure.
• Minimum 3+ years of clinical experience post-residency.

Responsibilities

• Review payor peer-to-peer cases for authorization.
• Assess documentation adequacy for admission status, procedure, and care setting.
• Advise on the appropriateness of requests based on documentation.
• Discuss cases with payor medical directors.
• Provide written analysis and conduct case reviews across specialties.

Skills

MD/DO

Medical licensure

Clinical experience

Job description

R1 RCM, Inc. in the United States is seeking a Physician Advisor to help clients navigate compliant revenue by reviewing payor peer-to-peer cases.

You will evaluate denied authorizations, verify documentation for admission status, procedure, and care setting, and advise on the appropriateness of requests. This remote role requires strong clinical knowledge across multiple areas, independent performance in a fast-paced environment, and proficiency with basic computer skills.