Review patient charts in an online tool to assess whether diagnoses are supported by the documented clinical evidence and to write concise comments for treating providers. The work centers on clinical documentation review, diagnosis validation, and risk-adjustment-style support for conditions identified through chart flags, medications, test results, and other indicators. This is a structured remote role with business-hours scheduling and some flexibility, with quality review during onboarding and ongoing QA support.
Key Responsibilities
- Review individual patient charts for documentation support of specific diagnoses.
- Evaluate clinical indicators, test results, and medications to identify potentially under-documented conditions.
- Write concise clinical summaries or comments for treating providers, following character limits.
- Send or support documentation prompts that may lead to additional workup or clarification.
- Support pre-visit planning and retrospective follow-up review workflows.
- Use clinical judgment to determine whether a diagnosis is present, supported, or needs further clarification.
- Work within a quality-reviewed, production-based remote review environment.
Required
- Medical school education.
- Strong baseline clinical knowledge across multiple medical conditions.
- Ability to evaluate documentation and determine whether a diagnosis is supported by the chart.
- Ability to translate chart findings into clear, concise clinical comments.
Preferred
- Experience in clinical documentation review, medical chart review, coding, CDI, or clinical scribe work.
- Experience with outpatient clinical documentation or coding review.
- Experience with risk adjustment, HCCs, or diagnosis validation concepts.
- Experience identifying undocumented or under-documented conditions from clinical indicators.
- Experience in remote, production-based, or quality-reviewed healthcare operations.
- CDI or coding-related certification.
Benefits & Perks
- Remote work environment.
- Business-hours schedule with some flexibility.
- Training materials, clinical resources, and independent research tools to support review work.
- QA support during onboarding, with review volume tapering as proficiency builds.