Review patient charts to determine whether documented diagnoses are clinically supported and provide physician-facing comments that improve diagnosis accuracy and documentation quality. This role centers on independent chart review, with additional research and clinical validation as needed. It is a fully remote, contract position focused on risk adjustment and HCC methodology.
Key Responsibilities
- Review patient medical records and diagnoses for clinical supportability.
- Validate documented diagnoses using chart review and clinical evidence.
- Submit physician-facing documentation comments and recommendations.
- Perform research and clinical validation when additional context is needed.
- Support diagnosis accuracy and documentation quality initiatives.
- Work independently using an online review tool.
Required
- Physician background; foreign-trained or U.S.-trained accepted.
- Strong clinical knowledge.
- Experience with risk adjustment.
- Experience with HCC methodologies.
- Knowledge of medical terminology.
- Experience reviewing clinical documentation.
Preferred
- Outpatient clinical experience.
- CDI experience.
- ECFMG certification.
- Chart review experience.
- Diagnosis validation experience.
- Population health experience.
Benefits & Perks
- Fully remote work.
- Full-time contract position.
- Opportunity to work independently with minimal oversight.