About this opportunity
Medix™ lists this Physician Advisor ($300,000/yr) - 244699 opportunity in egg harbor township, New Jersey. Review the employer’s description below for duties, qualifications and application requirements.
Job description
Overview
We are seeking an experienced and dynamic Physician Advisor to serve as a critical liaison between clinical teams , health information management , and care management departments .
This position plays a key role in:
Improving clinical documentation
Supporting appropriate utilization of hospital services
The ideal candidate will bring:
A strong foundation in clinical practice , documentation integrity , and regulatory compliance
Key Responsibilities
Educate physicians on the relationship between clinical language , ICD-10 coding , DRG assignment , and the impact on severity of illness (SOI) , risk of mortality (ROM) , and performance metrics
Conduct one-on-one and departmental educational sessions with medical staff (Internal Medicine, Surgery, Orthopedics, etc.) to improve clinical documentation and understanding of coding guidelines
Share data, trends, and practice patterns to guide documentation improvements
Provide education on medical necessity , appropriate utilization of hospital services, and regulatory compliance
Clinical Documentation Integrity (CDI) Program Support
Collaborate with CDI and Coding teams to develop, optimize, and implement a sustainable and integrated CDI program
Act as a trusted advisor in aligning clinical documentation with coding standards and quality metrics
Identify potential pitfalls in CDI implementation and offer proactive solutions to gain provider buy-in
Perform concurrent and retrospective medical record reviews , evaluating documentation against medical necessity standards
Support case managers and care teams by reviewing admissions , continued stays , and issuing non-coverage notices when appropriate
Participate in interdisciplinary rounds and guide level of care determinations
Assist in denial management , including appeals and peer-to-peer discussions with payers
Serve as a liaison between clinical departments , case management , utilization review , and health information management
Provide actionable insights and education to improve continuity of care and reduce readmission rates
Support care teams in identifying community resources and alternative levels of care when appropriate
Must-Have Qualifications
Graduate of an accredited medical school with an active New Jersey medical license
Minimum of 5 years of clinical practice experience
Familiarity with clinical documentation improvement (CDI) , ICD-10 , DRG , and reimbursement methodologies
Strong working knowledge of utilization management processes and criteria such as MCG or InterQual
Strong analytical, organizational, and communication skills
Preferred Qualifications
Board Certification by the American Board of Quality Assurance and Utilization Review Physicians (ABQAURP)
Previous experience participating in CDI and/or utilization review initiatives
Experience in peer-to-peer reviews or working directly with insurance payers
Knowledge of hospital operations , administrative standards , and case management workflows
Soft Skills & Attributes
Excellent verbal, written, and interpersonal communication skills
Proven ability to build rapport with physicians and leadership to drive collaboration
Strong presentation and teaching abilities
Demonstrated flexibility and ability to adapt in a dynamic healthcare environment
Effective multitasking , priority setting , and problem-solving abilities
Results-driven with a focus on achieving outcomes
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Worksite address
egg harbor township, NJ, 08234, US
Who can apply
Review the original listing for work authorization, qualifications and employer requirements.