Remote Inpatient Clinical Documentation Auditor

Gramian Consulting Group

Argentina

Remote

ARS 1,500,000 - 2,600,000

Full time

9 days ago

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Job summary

Gramian Consultancy is seeking experienced physicians to review inpatient clinical documentation for accuracy, completeness, and consistency. You will evaluate histories and physicals, progress notes, and discharge summaries, and provide evidence-based reasoning for your decisions.

The role requires hospital medicine expertise, leadership in clinical documentation audits, and the ability to work remotely while maintaining high-quality standards.

Qualifications

  • MD or DO degree required.
  • Board certification in Internal Medicine or Family Medicine.
  • At least 5 years as an attending hospitalist or leadership of clinical documentation audits.
  • Strong knowledge of inpatient documentation standards and hospital QA processes.
  • Excellent clinical reasoning and ability to assess complex or ambiguous documentation.
  • Strong written and verbal communication, including explaining judgments clearly.
  • Ability to work independently in a remote environment.

Responsibilities

  • Review inpatient clinical documentation, including 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.

Skills

Hospital medicine experience
Clinical reasoning
Written communication
Verbal communication
Remote work capability

Education

MD or DO degree
Board certification in Internal/Family Medicine

Job description

Gramian Consultancy is seeking experienced physicians to review inpatient clinical documentation for accuracy, completeness, and consistency. You will evaluate histories and physicals, progress notes, and discharge summaries, and provide evidence-based reasoning for your decisions.

The role requires hospital medicine expertise, leadership in clinical documentation audits, and the ability to work remotely while maintaining high-quality standards.

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