PAS Physician Advisor (Part-time Level of Care / Admission Status Review)

R1 is the leading provider of technology-driven solutions that transform the patient experience and financial performance of hospitals, health systems and medical groups. The R1 Physician Advisory Solutions (PAS) team offers a range of services that help navigate the path to compliant revenue. The Admission Status Review (ASR) team of physician advisors within PAS proactively reviews cases concurrently and post-discharge to ensure compliant admission status, which increases compliance and reduces the risk of exposure to denials. Responsibilities Addresses the following issues: compliance and admission status. Review and respond to the customer in a timely manner; usually within 1-2 hours of the submission to the queue. Must work during pre-scheduled hours to be highly successful in this role (schedules are created about 30 days in advance). Physicians should be highly capable of working independently with a high level of performance in a rapidly changing, fast-paced environment. Successful physicians will need to meet quality and productivity standards. Actively engage with attending physicians to discuss appropriate status as supported by documentation. Make phone contact with utilization review team and/or case managers at client hospitals regarding submitted case determinations. Provide written analysis of the case and perform case reviews across multiple specialties. Required Qualifications Active, unrestricted U.S. MD or DO medical licensure. At least 3 years of experience post-residency completion, focused on treatment of inpatients. Strong clinical knowledge base across multiple clinical areas. Computer proficient. Strong verbal and written communication skills. Professional, organized, and possesses persuasive writing and speaking skills. Possess strong negotiating/reasoning/logic and problem-solving skills. Must have flexibility with schedule to meet business needs. Schedules may vary based on business need with the majority of business needs during late afternoon and evenings on weekdays, and mid-day to evenings on weekends. Weekend work commitment required to include 30% or more of hours on the weekend, including Friday at 7pm through Sunday at midnight EST, based on business needs. Ability to work as part of a team. Home office that is HIPAA compliant. Desired Qualifications Current Board Certification Previous experience with utilization review or chart review For this US-based position, the base pay range is $150,075.00 - $199,070.29 per year. Individual pay is determined by role, level, location, job-related skills, experience, and relevant education or training. This job is eligible to participate in our annual bonus plan at a target of 10.00%. R1 RCM Inc. (“the Company”) is dedicated to the fundamentals of equal employment opportunity. The Company’s employment practices, including those regarding recruitment, hiring, assignment, promotion, compensation, benefits, training, discipline, and termination shall not be based on any person’s age, color, national origin, citizenship status, physical or mental disability, medical condition, race, religion, creed, gender, sex, sexual orientation, gender identity and/or expression, genetic information, marital status, status with regard to public assistance, veteran status or any other characteristic protected by federal, state or local law. Furthermore, the Company is dedicated to providing a workplace free from harassment based on any of the foregoing protected categories. If you have a disability and require a reasonable accommodation to complete any part of the job application process, please contact us at View phone number on click.appcast.io for assistance. #J-18808-Ljbffr R1 RCM