Senior Physician Advisor 8829

Job-8829

Senior Physician Advisor – Care Management / Clinical Documentation Integrity Physician

Tifton, GA

High-impact role where your clinical expertise powers transformative change across patient care, documentation integrity, and hospital performance. As a Senior Physician Advisor, you’ll be the strategic physician leader driving smarter, safer healthcare—directly influencing quality outcomes, utilization management, and system-wide excellence.

Why You Should Apply

Make a significant impact on patient care, safety, and clinical outcomes system-wide

Lead strategy and support across utilization review, documentation, and compliance

Highly collaborative role interfacing with physicians, executives, case management, and HIM

Opportunity to educate and coach medical staff on clinical documentation and payer regulations

What You’ll Be Doing

Lead reviews for utilization, level of care, and appropriate status designation

Provide direct consultation to ED, care management, and medical staff on medical necessity

Educate and mentor physicians on documentation standards and regulatory requirements

Act as a liaison with payers and conduct peer-to-peer reviews to avoid denials

Design and execute a clinical documentation integrity program tied to quality measures

Compiles and submits monthly reports of performance metrics, intervention outcomes, education sessions, and appeal/denial results to leadership, including the CMO, CEO, VP of Patient Logistics and Care Coordination, and Chief Utilization Officer.

Maintains thorough documentation of interventions, decisions, staff education, and trends to support data-driven practice and organizational performance.

About You

Be able to do the job as described

Doctorate in Medicine

Must have strong computer skills and working knowledge of the EMRs

Certified Clinical Documentation Specialist (CCDS) (Preferred)

Solid background in utilization management, documentation improvement, and patient safety

Familiarity with MCG InterQual

Must possess a working knowledge of large health systems, case management operations and administrative standards and policies

Experience building collaboration between care management, HIM, and provider teams

Member of the American College of Physician Advisors (ACPA) (Preferred)

Board Certification by the American Board of Quality Assurance and Utilization Review Physicians, Inc. (ABQAURP) (Preferred)

Why live here: Picture yourself in a charming, mid-sized city in Southwest Georgia with a low cost of living. It’s perched along the beautiful Flint River, where Southern hospitality meets cultural richness. The city is welcoming, energized, rooted in history and primed for the future. It’s a hub for healthcare, retail, arts, education, and thriving cultural life. Outdoor adventures are abundant here: wander the tranquil Radium Springs Gardens or cast your line at Lake Chehaw, a 1,400-acre haven for boating, fishing, and waterside play. Explore miles of biking and hiking trails, enjoy bird watching or horseback riding. Chehaw Park—a sprawling 800 acre park and zoo featuring boardwalks through cypress swamps, animals, a children’s play area, and even a BMX track. Thrive in a place where natural beauty, educational opportunity, cultural depth, and warm community spirit intertwine seamlessly. A day trip to Atlanta can happen anytime, it’s only 3 hours away.