What the work involves
You read inpatient clinical documentation and decide whether it faithfully represents what happened in the encounter. That means comparing a note against source material, catching errors and omissions, and deciding which of them actually matter clinically — a dropped allergy is not the same as an imprecise adjective. Where the record conflicts with itself, you adjudicate: pick a defensible reading, state why, and categorize the discrepancy by severity using the project's rubric. Every decision is accompanied by a short written rationale that another hospitalist should be able to follow without asking you a follow-up question.
The customer is focused on inpatient quality and documentation, and the rubric is a living document. Reviewers who notice that a category is underspecified — or that two of them overlap in practice — are expected to say so and help refine the standard, not quietly resolve it in their own head.
What the screen looks for
- Attending-level inpatient reasoning, not recall. Expect follow-ups that push on a judgment you already made.
- Severity calibration. Can you separate a clinically significant omission from a stylistic one, and defend the line?
- Written rationale quality. Concise, specific, and anchored to the documentation rather than to general clinical opinion.
- Consistency under a rubric — including willingness to apply a standard you would have drawn slightly differently.
- Bonus signal for CDI exposure and understanding of how documentation flows into coding, billing, and compliance.
Logistics
Contractor engagement, fully remote and largely asynchronous — you pick up cases and submit adjudications on your own schedule, with periodic calibration sessions or verbal walkthroughs of your reasoning. Volume is project-driven rather than a fixed weekly commitment; most reviewers fit it around clinical work. Pay band: $100–150/hr, as observed for this listing.