Inpatient Clinical Documentation Reviewer
About Gramian
Gramian Consultancy is a boutique consultancy specializing in IT professional services and engineering talent solutions. With a strong background in software engineering and leadership, we help companies build high-performing teams by matching them with professionals who truly fit their needs.
About the Role
We are seeking experienced physicians to review inpatient clinical documentation and assess its clinical accuracy, completeness, and consistency. You will evaluate histories and physicals, progress notes, and discharge summaries, adjudicate conflicting information, identify clinically significant errors, and provide clear, evidence-based reasoning for your decisions. This role is suited to physicians with strong hospital medicine experience and a commitment to clinical quality and documentation standards.
Key Responsibilities
Review inpatient clinical documentation, including histories and physicals (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 criteri
