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Medical Specialist Inpatient Medicine Documentation Review

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Job details

Pay

$80–$115 USD/hr

Engagement

Contract, part-time

Location

Remote

United States only

Posted

Oct 12, 2026

OpenTrain on Trustpilot

The work

You will review adult inpatient medical records, FHIR data, and clinical notes for AI training. Your clinical judgment will help assess whether medical information and claims are supported by the record and improve the quality of AI systems working with inpatient medicine data.

  • Review HPI, past medical history, medication reconciliation, social history, assessments, and care plans.
  • Check clinical claims against the medical record and identify missing, incorrect, or inconsistent information.
  • Review medication and care-transition details, including renal- and hepatic-adjusted dosing and medication interactions.
  • Assess whether age-appropriate clinical details are documented correctly.
  • Follow review guidelines consistently and provide feedback that improves AI models and data quality.

Requirements

  • Language: Professional fluency in English.
  • Credentials: MD or DO with board certification in Internal Medicine, or Internal Medicine with a Hospital Medicine focused practice designation.
  • Experience: At least five years of hospitalist experience, including current or recent inpatient hospitalist experience within the last two years.
  • Clinical knowledge: Understand admission, daily progress note, transition-of-care, and discharge workflows.
  • Work skills: Comfortable reviewing clinical notes and raw medical record data, with careful and consistent judgment in clinical documentation.
  • Experience: Mid-Senior level
  • Skills: Hospitalist Experience, Internal Medicine, Pediatrics, Family Medicine, Board Certification

Open to applicants in

  • United States

Preferred

  • Helpful background: Chart review, clinical documentation improvement, utilization review, medical coding, or clinical quality assurance.

How to apply

  1. Press Apply now. You create a free OpenTrain account and add your resume.
  2. Finish your application on the hiring company's site. The company decides who it hires, so it runs its own form. It asks for your resume again, your LinkedIn profile, your phone number, your location and answers to 6 screening questions.
  3. Take a short AI interview.

Job ID: cmv5fzb26000806qvrm0pvftk

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