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Accountabilities:
- Conduct DRG clinical validation reviews by analyzing hospital medical records.
- Review cases for readmissions, cost outliers, and level-of-care determinations.
- Produce clear clinical summaries and rationales for review findings.
Requirements:
- MD or DO degree with completed residency and board certification.
- Minimum 5 years of active clinical practice experience.
- Active, unrestricted medical license in at least one U.S. state.
Benefits:
- Annual salary range of $220,000 to $230,000 USD.
- Comprehensive medical, dental, and vision insurance.
- 401(k) with employer match and generous PTO.
- Fully remote work setup with flexible wellness benefits.
Partner Company
The company provides medical record review and utilization management services to ensure accurate coding and appropriate reimbursement. It is a remote-first organization with a focus on clinical integrity and quality assurance.