Medical Director/ Physician Reviewer (Fully Remote)

• 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.
• 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.