Remote Physician Advisor - Payer Peer-to-Peer Review

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

Job summary

R1 RCM, Inc. is seeking a Physician Advisor to guide client facilities through compliant revenue processes by reviewing payor peer-to-peer cases and ensuring appropriate documentation for admissions and procedures. You will coordinate with payor medical directors and work remotely from the United States.

The role requires strong clinical knowledge across multiple areas and the ability to work independently in a fast-paced environment. Proficiency with basic computer skills is essential.

Qualifications

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

Responsibilities

• Review payor peer-to-peer cases for authorization requests.
• Evaluate if proper documentation supports admission status, procedure, and care setting.
• Advise clients regarding appropriateness of requests based on available documentation.
• Discuss cases with payor medical directors as needed.
• Meet quality and productivity standards in a remote, fast-paced environment.

Skills

MD/DO licensure

3+ years clinical experience

Job description

R1 RCM, Inc. is seeking a Physician Advisor to guide client facilities through compliant revenue processes by reviewing payor peer-to-peer cases and ensuring appropriate documentation for admissions and procedures. You will coordinate with payor medical directors and work remotely from the United States.

The role requires strong clinical knowledge across multiple areas and the ability to work independently in a fast-paced environment. Proficiency with basic computer skills is essential.