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Inpatient Clinical Documentation Reviewer

Job not on LinkedIn

đŸ”„ 0 minutes ago

🌐 United States, United Kingdom, +3 more countries – Remote

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⏳ Contract/Temporary

🟡 Mid-level

🟠 Senior

đŸ”đŸ„ Medical Reviewer

đŸ‘» Ghost score 12%

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Logo of Gramian Consulting

Gramian Consulting

2 - 10 employees

Founded 2025

đŸ’Œ Consulting

📩 Logistics

📣 Marketing

Consulting ‱ Logistics ‱ Marketing

Gramian Consulting is a remote-first consulting firm that connects engineering and data/AI talent with organizations through talent augmentation, recruiting, dedicated teams, and contractor management. The firm provides Data & AI services including LLM training and fine-tuning, AI agents and assistants, MLOps, and AI infrastructure, and it offers mentorship and education programs for career readiness, interview preparation, and international market orientation. Rooted in hands-on engineering and recruiting experience, Gramian helps clients scale technical teams and extract business value from AI while developing individual talent.

📋 Description

‱ Review inpatient clinical documentation, including histories and physicals (H&Ps), progress notes, and discharge summaries. ‱ Assess documentation for clinical accuracy, completeness, and alignment with the patient encounter. ‱ Adjudicate ambiguous, conflicting, or inconsistent clinical information using sound medical judgment. ‱ Identify and categorize clinically significant errors, omissions, and discrepancies by severity. ‱ Apply structured review rubrics and quality criteria consistently across cases. ‱ Provide concise, well-reasoned written explanations supporting review decisions. ‱ Contribute to the improvement of documentation review guidelines and quality standards.

🎯 Requirements

‱ MD or DO degree. ‱ Board certification in Internal Medicine or Family Medicine. ‱ At least 5 years of experience as an attending hospitalist, or demonstrated leadership of clinical documentation audit programs. ‱ Strong knowledge of inpatient documentation standards and hospital quality assurance processes. ‱ Excellent clinical reasoning and the ability to assess complex or ambiguous documentation. ‱ Strong written and verbal communication skills, including the ability to explain clinical judgments clearly. ‱ Ability to work independently and maintain consistent quality in a remote environment.

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