Job Description:
Physician Advisor (Remote)
Opportunity
UVA Health is seeking an experienced Physician Advisor to provide physician leadership across Utilization Management (UM), Clinical Documentation Integrity (CDI), Coding, and Case Management. This remote role focuses on medical necessity, regulatory compliance, documentation improvement, and advancing quality and operational outcomes. Join a dedicated and collaborative team that is valued by health system leadership for this unique skillset.
Key Responsibilities
Perform medical necessity reviews using MCG and/or InterQual
Support CMS compliance, including the 2-Midnight Rule and inpatient status determinations
Partner with Case Management, CDI, and physician teams to improve documentation and patient flow
Provide physician education, documentation feedback, and CDI query support
Conduct peer-to-peer reviews and assist with denial prevention and appeals
Participate in quality, compliance, and operational improvement initiatives
Position Highlights
Fully remote physician leadership opportunity (with the exception of 4 on-site meetings per year that are 1-day meetings)
Collaborate with multidisciplinary teams across UVA Health
Improve clinical documentation, utilization practices, and patient outcomes
Help shape system-wide initiatives in quality, compliance, and stewardship
Qualifications
MD or DO
Board Certified in Family Medicine, Internal Medicine or Pediatrics
Eligible for Virginia medical licensure
Prior Utilization Management experience preferred
Knowledge of CMS regulations and MCG/InterQual guidelines
Excellent communication and collaboration skills
The base compensation range for this role is $250,000 - $350,000 for a 1.0 clinical FTE status.
Individual compensation will be determined by fair market value and the selected candidates qualifications, clinical experience, specialty training, credentials, and/or education. Please note that the pay range does not include any applicable incentive compensation programs, such as productivity, quality, non-productivity, or other incentives that may be available for eligible positions.
We are equal opportunity employers. All qualified applicants will receive consideration for employment without regard to age, color, disability, gender identity or expression, marital status, national or ethnic origin, political affiliation, race, religion, sex, pregnancy, sexual orientation, veteran or military status, and family medical or genetic information.
