Physician Advisor: Utilization & CDI Leadership

Baptist Health Arkansas; Little Rock, Northern (AR, KY); Hybrid; USD 180,000 - 260,000; Full time

Job summary

Baptist Health Arkansas is seeking a Physician Advisor UR and CDI-Utilization Management to lead and coordinate utilization review and documentation initiatives within the hospital leadership team.

The role focuses on teaching, consulting, and advising CDI and UR departments, while ensuring compliance with governmental and private payer regulations and accurate coding and documentation. Strong EMR skills and a solid foundation in related areas are essential.

Qualifications

• Hold an unrestricted medical license in the state.
• Meet Hospital medical staff requirements.
• Solid foundation in utilization management, quality improvement, and patient safety.
• Working knowledge of hospital organization, case management operations, and policies.
• Strong computer skills and EMR knowledge.
• Familiarity with MCG/Interqual criteria preferred.

Responsibilities

• Advise on utilization of services and documentation.
• Teach and consult with clinicians and hospital leadership.
• Oversee CDI and utilization review functions.
• Ensure compliance with payer regulations and coding/documentation requirements.
• Analyze physician practice patterns and resource use.

Skills

Utilization management

Quality improvement

Patient safety

EMR knowledge

MCG/Interqual

Tools

EMR systems

Job description

Baptist Health Arkansas is seeking a Physician Advisor UR and CDI-Utilization Management to lead and coordinate utilization review and documentation initiatives within the hospital leadership team.

The role focuses on teaching, consulting, and advising CDI and UR departments, while ensuring compliance with governmental and private payer regulations and accurate coding and documentation. Strong EMR skills and a solid foundation in related areas are essential.