Physician Advisor (Remote)

Sound Physicians; United States; Remote; USD 190,000 - 230,000; Full time

Benefits offered by this job

Health Benefits

401k

CME

Job summary

Sound Physicians seeks a Physician Advisor for Advisory Services—Remote, Full-time. The role emphasizes clinically supported case reviews, medical necessity determinations, and EMR proficiency.

You will collaborate with hospitals across several states to improve care and outcomes while navigating Medicare and payer guidelines. Ideal candidates hold an MD/DO with ABMS/ABQAURP-certification, and have experience in utilization review and clinical documentation improvement.

Qualifications

• MD or DO licensure in the state of employment.
• Board Certification (Internal Medicine, Emergency Medicine, or Critical Care) recognized by ABMS or ABQAURP.
• Utilization-specific training from ABQAURP, 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.

Responsibilities

• Holistic case review with all-inclusive determinations of medical necessity, documentation accuracy, and clinical documentation improvement.
• Conduct Level of Care determinations.
• Perform Peer-to-Peer reviews.

Skills

Investigative mindset

Written English communication

EMR competence

Education

MD or DO license

Board Certification (Internal Medicine/ Emergency/ Critical Care)

ABQAURP utilization training

Authorized to work in the United States

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, excellentwritten 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 andapplying 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, 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).