Quick Summary
Key Responsibilities
Perform DRG Clinical Validation reviews to ensure diagnoses are accurate, supported, and compliant Evaluate medical records, diagnostic findings,
Requirements Summary
MD/DO required with active, unrestricted U.S License Board Certification required (ABMS or AOA) 5+ years of clinical practice experience REQUIRED: Strong utilization review experience (UM,
Technical Tools
HealthcarePhysician
Position Summary:
We are seeking a highly experienced DRG Clinical Physician Reviewer to join our growing clinical review team. This is a fully remote opportunity for a physician with a strong background in utilization review and clinical validation who thrives in a fast-paced, data-driven environment.
In this role, you will review complex hospital cases to ensure accurate DRG assignment, validate clinical documentation, and support evidence-based determinations that directly impact healthcare quality and reimbursement integrity.
Responsibilities:
We are seeking a highly experienced DRG Clinical Physician Reviewer to join our growing clinical review team. This is a fully remote opportunity for a physician with a strong background in utilization review and clinical validation who thrives in a fast-paced, data-driven environment.
In this role, you will review complex hospital cases to ensure accurate DRG assignment, validate clinical documentation, and support evidence-based determinations that directly impact healthcare quality and reimbursement integrity.
Responsibilities:
- Perform DRG Clinical Validation reviews to ensure diagnoses are accurate, supported, and compliant
- Evaluate medical records, diagnostic findings, and treatment plans using evidence-based guidelines
- Produce clear, concise clinical summaries and determinations within established turnaround times
- Identify opportunities for improved documentation, coding accuracy, and cost containment
- Conduct readmission and level of care reviews, including outlier and appeal cases
- Collaborate with internal teams and, when needed, engage with providers to support clinical findings
- Contribute to quality assurance initiatives and ongoing program development
- MD/DO required with active, unrestricted U.S License
- Board Certification required (ABMS or AOA)
- 5+ years of clinical practice experience
- REQUIRED: Strong utilization review experience (UM, DRG Validation, or clinical documentation review)
- Experience with DRG Validation, CDI, or claims review strongly preferred
- Proven ability to interpret complex clinical data and apply guidelines objectively
- Strong written communication skills with the ability to clearly justify clinical decisions
- 100% remote – work from anywhere in the U.S
- High-impact role influencing clinical accuracy and healthcare outcomes
- Join a growing, mission-driven team at the intersection of clinical care and healthcare analytics
- Consistent, structured workflow with meaningful case variety
Location & Eligibility
Where is the job
Worldwide
Fully remote, anywhere in the world
Who can apply
Open to applicants worldwide
Listing Details
- Posted
- July 7, 2026
- First seen
- September 25, 2026
- Last seen
- September 26, 2026
Posting Health
- Days active
- 0
- Repost count
- 0
- Trust Level
- 20%
- Scored at
- September 26, 2026
Signal breakdown
freshnesssource trustcontent trustemployer trust
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