Physician Advisor (Remote)

Sound Physicians; Northern (KY); Hybrid; USD 170,000 - 210,000; Full time

Benefits offered by this job

Health Benefits

401k

CME

Productivity-based pay (avg $190k)

Job summary

Sound Physicians invites physician advisors to join our Advisory Services team in a remote, full-time capacity. The role requires a strong clinical background, experience with medical necessity, and the ability to write clear, evidence-based case reviews for payers and care teams.

You'll collaborate across states to improve outcomes, perform Level of Care determinations and peer-to-peer reviews, and participate in reviews that support regulatory compliance.

Qualifications

• MD or DO licensure within the state of employment.
• Board Certification (base specialty) Internal Medicine - Hospital Medicine, Emergency Medicine, Critical Care recognized by ABMS or ABQAURP.
• Utilization-specific training from ABQAURP within 12 months of hire.
• Education on application of medical necessity criteria within 3 months of hire.
• 3 years post-residency experience as an advisor – strongly preferred.
• Authorized to work in the United States.

Responsibilities

• Holistic Case Review: direct review of the medical record by licensed physicians leading to all-inclusive determinations.
• Level of Care (LOC) determinations.
• Peer-to-Peer reviews.

Skills

EMR competence

Written English communication

Investigative mindset

Education

MD/DO degree

ABMS/ABQAURP board certification

Tools

EMR systems

Job description

Join our Medical Group as a Physician Advisor, Advisory Services - Remote, Full-time

The successful physician advisor has a strong clinical background, an investigative nature, excellent written English communication skills, and EMR competence. Our advisors must write well-informed, clinically supported case reviews that can be clearly understood by case managers, bedside providers, and ultimately, payers. Understanding Medicare regulations and commercial payer guidelines and applying those concepts during case reviews are essential in this role

Team Collaboration

Our physician advisors operate across multiple states, including Arizona, California, Florida, Kentucky, Nevada, and West Virginia, collaborating with partner hospitals to improve services and outcomes.

Qualifications

• MD or DO Licensure within the state of employment.
• Board Certification (base specialty) Internal Medicine - Hospital Medicine, Emergency Medicine, Critical Care recognized by ABMS or ABQAURP.
• Utilization-specific training from ABQAURP (The American Board of Quality Assurance and Utilization Review Physicians), or equivalent within 12 months of hire.
• Education on application of medical necessity criteria within 3 months of hire.
• 3 years post-residency experience as an advisor – strongly preferred.
• Authorized to work in the United States.

Scheduling

• Flex advisor who completes 10 Level of Care (LOC) shifts per month from 8:00 AM to 6:00 PM EST, and 80 Peer-to-Peers per month.
• Level of Care Determinations (LOC) for 6:00 AM to 2:00 PM ET, Monday-Friday, 20 shifts per month.
• Peer-to-Peer reviews: 8:00 AM to 5:00 PM EST, Monday-Friday, 140 Peer-to-Peers per month.

Key Responsibilities

• Holistic Case Review: Direct review of the medical record is provided by licensed physicians, leading to “all-inclusive determinations” encompassing medical necessity, accuracy of documentation, and clinical documentation improvement, ensuring regulatory compliance and reinforcing best practices for care coordination.
• Level of Care (LOC) determinations.
• Peer-to-Peer reviews.

Rewards and Compensation

• Health Benefits, 401k, CME.
• Productivity based (per case rate) with an estimated average of $190,000 annually depending on the number of cases.