About The Position

We are sharing a specialised consulting opportunity for experienced hospitalists with deep expertise in inpatient medicine, clinical documentation, clinical adjudication, and quality review to evaluate inpatient records for accuracy, completeness, and fidelity to the underlying patient encounter. Selected professionals will review H&Ps, progress notes, and discharge summaries; adjudicate conflicting or ambiguous clinical information; identify significant documentation errors or omissions; and apply structured quality standards across cases. This opportunity is particularly suited to physicians who combine strong inpatient clinical judgement with precise written reasoning.

Requirements

  • MD or DO degree
  • Board certification in Internal Medicine or Family Medicine
  • 5+ years of experience as an attending hospitalist, or comparable leadership of clinical documentation audit programmes
  • Deep familiarity with inpatient medicine and hospital documentation standards
  • Strong experience reviewing complex inpatient clinical records
  • Excellent clinical judgement and adjudication capabilities
  • Ability to identify clinically meaningful errors, omissions, and inconsistencies
  • Familiarity with hospital quality-assurance processes
  • Strong written communication skills
  • Ability to explain nuanced clinical reasoning concisely
  • High attention to detail and consistency
  • Comfortable applying structured rubrics across repeated case reviews
  • Able to work independently in a remote professional environment

Nice To Haves

  • Experience with Clinical Documentation Improvement programmes is advantageous
  • Understanding of how documentation affects coding, billing, and compliance

Responsibilities

  • Review histories and physicals, progress notes, and discharge summaries
  • Assess documentation for clinical accuracy and completeness
  • Evaluate whether records appropriately reflect the patient encounter
  • Identify missing or inadequately documented clinical information
  • Apply hospitalist-level judgement to complex inpatient cases
  • Adjudicate ambiguous or conflicting clinical information
  • Render clear and defensible clinical decisions
  • Distinguish meaningful discrepancies from minor documentation variation
  • Apply consistent judgement across comparable cases
  • Provide concise rationale supporting each adjudication decision
  • Identify clinically significant errors and omissions
  • Detect inconsistencies across inpatient documentation
  • Categorise findings according to severity and clinical importance
  • Evaluate whether discrepancies may affect interpretation of the case
  • Escalate material documentation concerns through defined review processes
  • Apply structured review rubrics consistently across cases
  • Evaluate documentation against established quality criteria
  • Maintain consistency across repeated adjudication workflows
  • Identify unclear or insufficient review criteria when encountered
  • Support reliable and repeatable clinical-quality evaluation
  • Contribute to refinement of clinical review guidelines
  • Provide feedback on documentation-quality standards
  • Identify recurring patterns in documentation weaknesses
  • Support continuous improvement of review methodology
  • Communicate clinical reasoning clearly in written and verbal formats

Benefits

  • Independent contractor engagement
  • Fully remote
  • Compensation: $100–$150/hour
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