About this opportunity
Confidential lists this Hospitalist, Clinical Documentation Reviewer opportunity in North Decatur, Georgia. Review the employer’s description below for duties, qualifications and application requirements.
Job description
Role Overview
Review inpatient clinical documentation to support high-quality evaluation of clinical accuracy, completeness, and alignment with each patient encounter. This remote contract role is suited to experienced hospitalists who can communicate nuanced clinical judgment clearly in writing and verbally.
Key Responsibilities
Review H&Ps, progress notes, discharge summaries, and other inpatient documentation for accuracy, completeness, and clinical appropriateness.
Adjudicate ambiguous or conflicting clinical information and provide clear, well-reasoned determinations.
Identify clinically significant errors, omissions, and inconsistencies, then categorize findings by severity.
Apply structured review rubrics and quality criteria consistently across cases.
Document concise written rationales for adjudication decisions.
Help refine review guidelines and quality standards.
Qualifications
MD or DO with board certification in Internal Medicine or Family Medicine.
At least 5 years of experience as an attending hospitalist, or demonstrated leadership of documentation audit programs.
Strong experience in inpatient medicine, clinical documentation, clinical adjudication, and error detection.
Deep knowledge of inpatient documentation standards and hospital quality assurance processes.
Experience with clinical documentation improvement programs is preferred.
Understanding of how documentation affects coding, billing, and compliance.
Ability to work independently in a remote environment.
Work Terms
Remote contract engagement.
Compensation
$100 to $150 per hour.
Who can apply
Review the original listing for work authorization, qualifications and employer requirements.