Physician Advisor

Sutter Health

. Ensure effective and efficient utilization of health care services and achievement of organizational objectives .

Posted 10/14/2026part-timeVallejo • California • United StatesMid-LevelSenior💰 $278,429 - $445,494 per yearWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates expertise in physician practice patterns, utilization management, and regulatory compliance while leading documentation and quality improvement initiatives. Capable of conducting clinical reviews and collaborating with multidisciplinary teams to optimize healthcare services and outcomes.

Highest-signal resume keywords

MD Or DO DegreeUnrestricted Medical LicenseUtilization Management ExpertiseDocumentation Best PracticesClinical Review Experience

ATS Keywords

Tailor your resume

Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills

Physician Practice PatternsMedical NecessityDenial ManagementCoding Rules And RegulationsQuality Reporting MethodologyRisk AdjustmentDocumentation StrategiesPerformance Improvement InitiativesCDI Process ReviewMetrics Reporting

Soft Skills

LeadershipCollaborationCommunicationStakeholder EngagementProvider Education

Industry Keywords

Healthcare ServicesClinical Documentation ImprovementCare ManagementUtilization ManagementThird-Party Payer Regulations

About the role

Key responsibilities & impact

Ensure effective and efficient utilization of health care services and achievement of organizational objectives
Develop expertise in physician practice patterns, resource utilization, medical necessity, documentation, level of care progression, denial management, and regulatory compliance
Establish and strengthen relationships with System Enterprise and the hospital to optimize Sutter Health Internal Physician Advisor Services
Work with medical staff, house staff, utilization management, and care management personnel to optimize hospital services
Conduct clinical reviews of cases referred by UM/CM staff and other healthcare professionals
Meet with care management, UM staff, health care team members, and third-party payer medical directors regarding patient needs and alternative levels of care
Advise attending physicians on appropriateness of hospitalization, continued stay, and resource utilization
Act as a resource regarding federal and state utilization and quality regulations
Liaise among CDI professionals, HIM, and medical staff to facilitate accurate and complete documentation, coding, abstracting, severity, acuity, mortality risk, and DRG assignment
Lead documentation and performance improvement initiatives
Review cases for documentation opportunities and follow up on unanswered queries with physicians electronically and in person
Meet with CDI leadership to identify opportunities and address unanswered queries
Provide clinical feedback and provider education on documentation, quality of care, mortality, length of stay, medical necessity, and related outcomes
Collaborate with subspecialty providers on definitions and documentation for complex conditions
Develop compliant provider queries and evaluate documentation systems, tools, and processes
Lead multidisciplinary provider engagement strategies and participate in CDI and quality committees
Serve as liaison between providers and the CDI team and facilitate stakeholder collaboration
Review CDI process and outcome metrics, develop action plans, and report significant issues to senior leadership

Requirements

What you’ll need

Graduate of an accredited medical school
MD (Doctor of Medicine) or DO (Doctor of Osteopathy)
Unrestricted medical license in state of residence
3 years of recent relevant experience
Knowledge of physician practice patterns, utilization management, medical necessity, documentation best practices, level of care progression, denial management, coding rules and regulations, risk adjustment, and quality reporting methodology
Ability to lead documentation and quality improvement initiatives
Ability to conduct clinical reviews and work with CDI, HIM, UM, CM, medical staff, and payer medical directors
Ability to develop compliant provider queries and documentation strategies
Ability to review CDI process and outcomes metrics and report performance data to senior leadership

Benefits

Comp & perks

Comprehensive benefits package for eligible positions
Hybrid work arrangement with some onsite requirements
Regular employee status
Exempt position