Remote Physician Advisor: Payor Peer-to-Peer Reviews

R1 RCM, Inc.; Athens (GA); Remote; USD 150,000 - 199,000; Full time

Job summary

R1 RCM, Inc. is seeking a Physician Advisor for our US-based, remote role. You will review payor-denied cases, assess documentation, and advise on the appropriateness of requests based on clinical records across multiple specialties.

Strong clinical knowledge and independent work in a fast-paced environment are essential. The role emphasizes collaboration with payor medical directors, providing written analyses and acting as a clinical resource for staff to resolve documentation and utilization

Qualifications

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

Responsibilities

• Review payor peer-to-peer cases where authorization was denied and evaluate documentation.
• Advise clients on appropriateness of requests based on available records.
• Discuss cases with payor medical directors to determine authorization status.
• Provide written case analysis and review cases across multiple specialties.
• Serve as a clinical resource to staff to resolve documentation and utilization issues.

Skills

Active MD/DO license

Clinical experience

Education

MD or DO degree

Job description

R1 RCM, Inc. is seeking a Physician Advisor for our US-based, remote role. You will review payor-denied cases, assess documentation, and advise on the appropriateness of requests based on clinical records across multiple specialties.

Strong clinical knowledge and independent work in a fast-paced environment are essential. The role emphasizes collaboration with payor medical directors, providing written analyses and acting as a clinical resource for staff to resolve documentation and utilization