Physician Advisor – Care Management & Clinical Documentation
Updated 11/06/25
Texarkana, Texas, United States
Physician
Other
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Job at a glance
Degree Required
MD/DO
Position Type
Full-Time
Work Environment
Hospital
Visa Sponsorship
No
Experience Level
5 years
Job description
Job description
Seeking a Board-Certified Physician to serve as an Onsite Physician Advisor supporting Care Management and Clinical Documentation Integrity (CDI) in Texarkana, Texas. This Monday–Friday administrative role has no call duties and is ideal for a physician interested in influencing quality, efficiency, and compliance across the care continuum.
Job Responsibilities
Utilization Management (20%)
Lead the Utilization Review Committee in collaboration with the Care Management Director
Perform secondary status reviews to ensure appropriate level of care determinations
Conduct peer-to-peer consults with payer medical directors on denial cases
Monitor and improve key utilization metrics (e.g., LOS, denial trends, Condition Code 44)
Physician & Staff Education (15%)
Educate providers and clinical staff on regulatory requirements, appropriate billing practices, and end-of-life care planning
Mentor Case Managers and promote clinical documentation best practices
Support physicians with navigation of payer requirements and efficient patient progression
Care Management Support (50%)
Participate in daily interdisciplinary rounds to expedite care plans and align with correct LOC
Assist ED and inpatient teams with accurate status designation at intake
Liaise with payers to prevent denials and facilitate authorizations
Review long-stay cases and hospital notices of non-coverage; guide attending physicians in resolution and appeals
Document reviews per policy and assist in conflict-of-interest cases with appropriate reviewer reassignment
Clinical Documentation Integrity (15%)
Provide feedback and case-based education to physicians regarding CDI and accurate MS-DRG assignment
Promote the value of comprehensive documentation for quality reporting and reimbursement
Qualifications
Must be Board Certified in a clinical specialty
Minimum of 5 years of clinical experience in a hospital or acute care setting
Working knowledge of utilization review principles, payer protocols, and CDI best practices
Strong communication and leadership skills with ability to coach peers and staff
Preferred: Certification from the American Board of Quality Assurance and Utilization Review Physicians (ABQUARP)
Working Hours
Call Requirements: None
Work Setting: 100% Onsite, Administrative Position
By applying you agree to our Terms of Service