Clinical Reviewer (Remote)

We are hiring for one of our clients, a global leader in the Hospitals and Health Care industry. This contract role involves reviewing clinical documentation for accuracy and completeness of hospitalist encounters, ensuring adherence to medical coding guidelines and documentation standards.

Responsibilities

• Review hospitalist encounter documentation for clinical accuracy and completeness.
• Ensure documentation supports medical necessity and meets regulatory requirements.
• Provide feedback to providers on documentation gaps and areas for improvement.
• Collaborate with coding teams to resolve documentation queries.
• Maintain up-to-date knowledge of coding guidelines and clinical best practices.

Qualifications

• Board certification in Internal Medicine or Family Medicine is required.
• Active medical license in good standing with no restrictions.
• Minimum of 5 years of clinical experience as a hospitalist.
• Strong understanding of ICD-10-CM, CPT, and E/M coding guidelines.
• Experience with electronic health records and clinical documentation improvement.

Pay

$70 - $100/hour