Regional Physician Advisor Position; Eastern​/Peninsula Coastal Virginia

Regional Physician Advisor Position (Eastern/Peninsula) Coastal Virginia Near the Beach

Sentara Health is seeking a qualified Regional Physician Advisor to join our team in Norfolk, VA
. This full‑time, on‑site role supports the Clinical Revenue Cycle’s Utilization Review and Denials/Appeals processes to ensure accurate billing and documentation integrity.

• Support utilization review, denials management, and documentation integrity for clinical revenue cycle functions.
• Interface with hospital and medical staff leadership to facilitate communication between revenue cycle leadership and hospital facilities.
• Provide formal and informal education of medical staff at Sentara hospital facilities.
• Assist with hospital and medical staff process and initiative championing.

• Medical doctorate (MD) or Doctor of Osteopathy (DO) degree from an accredited medical school.
• Accredited residency training program completion.
• Minimum 5 years of clinical experience, with strong preference for hospital clinical experience.
• Minimum 2 years of physician advisory experience, with strong preference.
• Active and unrestricted state Virginia medical license.
• Board certification in specialty required at time of hire.
• Comprehensive understanding of CMS regulatory guidance and utilization review decisions.
• Working knowledge of clinical documentation integrity, hospital billing and coding processes, case mix index, and DRG assignments.
• Familiarity with standard published leveling criteria such as MCG/Interqual.
• Excellent customer service, interpersonal skills, and strong written and verbal communication.
• Strong organizational, analytic, and priority management skills.
• Ability to provide a consistent on‑site presence at assigned sites.

• Medical, Dental, Vision plans
• Paid Time Off and Sick Leave
• Paid Parental & Family Caregiver Leave
• Long‑Term, Short‑Term Disability, and Critical Illness plans
• Life Insurance
• 401k/403B with Employer Match
• Tuition Assistance – $5,250/year
• Reimbursement for certifications and free access to CEUs
• Pet Insurance

Sentara Health is an equal‑opportunity employer and values diversity, inclusion, and belonging. This is a tobacco‑free environment.