Clinical Reviewer (Remote)

We are hiring for one of our clients, seeking a Senior Hospitalist Clinical Reviewer to work on a Full-Time basis. The role involves reviewing clinical documentation for accuracy and completeness of hospitalist encounters. You will ensure adherence to medical coding guidelines and documentation standards.

Key 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.

Required Skills & 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.

More About the Opportunity:

This role offers a unique opportunity to work with a global leader in the Hospitals and Health Care industry, contributing to improved patient care quality and operational efficiency. The position supports critical documentation review processes in a high-volume clinical setting.

Equal Opportunity Employer:

We hire based on skills and expertise. All qualified candidates are welcome regardless of background, experience, or prior employment history. Applications are reviewed solely on demonstrated technical ability and qualifications.