Clinical Reviewer (Remote)

About the role

We are seeking a Senior Hospitalist Clinical Reviewer to work remotely on a full‑time basis. The role focuses on reviewing hospitalist encounter documentation to ensure clinical accuracy, completeness, and compliance with coding and regulatory standards.

Key responsibilities

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

Required profile

• Board certification in Internal Medicine or Family Medicine.
• Active, unrestricted medical license in good standing.
• 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 initiatives.

Required skills

• ICD‑10‑CM coding
• CPT coding
• E/M coding guidelines
• Electronic health record (EHR) systems