Physician Advisor (Remote)

Silversmith Capital Partners; United States; Remote; USD 180,000 - 240,000; Full time

Benefits offered by this job

Health benefits

401k plan

CME credits

Job summary

Sound Physicians is seeking a Physician Advisor for a fully remote, full-time role in the United States. The advisor conducts holistic case reviews, ensuring medical necessity and compliant documentation, while applying payer guidelines to improve patient care and outcomes.

Responsibilities include LOC determinations and peer-to-peer reviews, with collaboration across multiple states. Remote scheduling and competitive benefits are offered, with a clinical recruiter coordinating the hiring

Qualifications

• Strong clinical background and investigative mindset.
• Excellent written English communication; clear case reviews for diverse audiences.
• Experience applying Medicare and payer guidelines in case reviews.

Responsibilities

• Direct holistic case reviews to determine medical necessity and documentation quality.
• Perform Level of Care (LOC) determinations and peer-to-peer reviews.
• Collaborate with hospitals and care teams to improve outcomes and regulatory compliance.

Skills

Clinical knowledge

Written communication

EMR proficiency

Medicare/payer regulations knowledge

Education

MD/DO licensure

Board certification (Internal Medicine / Emergency / Critical Care)

ABQAURP training or equivalent

US work authorization

Tools

EMR systems

Job description

Physician Advisor (Remote)

United States

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, 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).

Cindy Mitchum, Clinical Recruiter | [e-mail] | [phone]