Hospitalist Reviewer | Remote - Contract
Core
Evaluate inpatient clinical documentation (H&Ps, progress notes, discharge summaries) for clinical accuracy, completeness, and fidelity to the patient encounter.
Role type
Senior IC clinical documentation adjudicator
Builds
High-quality clinical documentation standards and audit outcomes for inpatient care
Domain
Healthcare + Clinical Documentation Improvement (CDI)
Required skills
Clinical Documentation Improvement (CDI), Inpatient Medicine, Clinical Adjudication, Error Detection, Hospitalist experience
Preferred skills
Board certification in Internal Medicine or Family Medicine, Leadership of documentation audit programs, Knowledge of coding/billing/compliance impact
Technologies
None stated
Responsibilities
Review inpatient clinical documentation and assess accuracy, completeness, and clinical appropriateness; Adjudicate ambiguous or conflicting information and render clear, well-reasoned judgments; Identify clinically significant errors, omissions, or inconsistencies and categorize them by severity; Apply structured rubrics and quality criteria consistently across cases; Provide concise written rationale supporting each adjudication decision; Contribute to refining review guidelines and quality standards.