Job DescriptionRCS Physician AdvisorThe RCS Physician Advisor acts as a liaison between IU Health Revenue Cycle Services, hospital administration, and clinical staff and aids in the optimization of hospital services, resource utilization, and medical necessity reviews. This role provides clinical expertise and support to the IU Health Utilization Management team and supports work related to authorizations, concurrent reviews, and payor denials.
Key RelationshipsReports to: RCS-Medical Director
Candidate QualificationsCandidates for the position will be evaluated according to the following criteria and competencies.
- Medical degree and board certification in a recognized medical or surgical specialty required.
- Relevant experience preferred.
- Current licensure to practice medicine.
- Clinical experience in a hospital setting.
- Understanding of clinical utilization review and healthcare regulations.
- Knowledge of current medical coding and billing practices.
- Excellent communication and interpersonal skills.
- Strong leadership abilities and a collaborative approach to problem-solving.
- Requires along with knowledge in the areas of Medical Necessity, health care regulatory requirements, and an understanding of medical coding and billing.
