Physician Utilization & Evidence-Based Care Advisor

Med-Metrix in Oregon seeks a Physician Advisor to conduct physician-to-physician reviews, provide clinical guidance, and support evidence-based care and appropriate resource utilization. Responsibilities include reviewing medical necessity, assisting utilization review teams, improving documentation for ICD/DRG coding, and applying CMS/MCG guidelines while maintaining HIPAA and security compliance.

Requires an MD/DO license, board certification, and experience in payer or provider-side