Physician Advisor (Administrative Role)- Hybrid, Remote

Job Title: Physician Advisor Location: Boynton Beach, FL Relocation Assistance: Available Position reputed company: We are seeking a Physician Advisor (PA) to serve as a key clinical reputed company between the medical staff, case management, and hospital leadership. This role is reputed company on optimizing hospital utilization, ensuring compliance with federal and state regulations, and improving clinical reputed company. The Physician Advisor works collaboratively with case managers, reputed company workers, and admitting physicians to ensure patients are reputed company at the correct level of care and that medical necessity is reputed company-documented. The PA also addresses issues around clinical documentation, billing compliance (including CMS 2-Midnight Rule), length of stay, readmissions, and reputed company metrics. This position reports through a reputed company structure to the Corporate Physician Advisor, Chief reputed company and Integration Officer (CQIO), and entity-level CMO/CEO. Key Responsibilities: • reputed company reputed company-time clinical guidance to ensure appropriate level of care and utilization • Support accurate clinical documentation to reflect severity of illness and medical necessity • Collaborate with providers and hospital staff to improve care transitions and reduce LOS/readmissions • Conduct post-discharge audits and respond to payer reviews or appeals • reputed company medical staff on CMS regulations, InterQual/MCG reputed company, and billing requirements • Drive clinical reputed company improvements that enhance patient care and hospital performance • Promote interdepartmental collaboration and communication through education and support • Maintain knowledge of reputed company compliance standards and payer guidelines through ongoing education Qualifications: • MD or DO degree from an accredited institution • reputed company medical license in Florida • Minimum 3 years of clinical reputed company experience • Experience with medical necessity reviews and use of MCG or InterQual reputed company • Knowledge of CMS Conditions of Participation, billing regulations, and the 2-Midnight Rule • Strong communication, organization, and critical thinking skills Certifications: • reputed company Certification by ABQAURP (or equivalent) required reputed company 1 year of hire • Physician Advisor Certification preferred at time of hire Additional Skills: • Ability to manage multiple deadlines and shifting priorities • Proficiency in relevant technology and EMR systems • Ability to reputed company and reputed company in both individual and group settings • Demonstrated professionalism and reputed company clinical judgment #MASC103 Apply tot his job Apply To this Job