Physician Reviewer
This is the employer's own posting, not a copy on a job board.
What we know
Is it still open?
Confirmed still open
Last checked 1d ago — checked against the employer's own applicant tracking system, which is the company answering directly.
We re-read the employer's own applicant tracking system and the posting was still there. That is the company answering directly.
How old is it?
First seen 15d ago
No source stated a posting date, so this is when the listing first reached us — which is a floor, not the real age. Last seen at its source 10h ago.
We have tracked this listing since 18 Oct 2026 (15 days). The employer's own board has carried it every time we have read it, most recently 10 hours ago.
Is it remote?
Remote
That is the location the employer filed this posting under. Quoted as written — we do not re-word the source's own location.
Who may apply?
United States
No source stated where this role may be worked. This is read from the ad's own words.
What the ad says
…work from anywhere in the U.S High-impact role influencing clinical accuracy and healthcare outcomes Join a growing, mission-driven team at the intersection of clinical care and healthcare analytics Co…
Pay not stated
Similar roles pay $96.3k–135k/yr
Middle 50% of 1264 listings that do state pay — Healthcare · all levels · United States · USD/year. This employer has published no salary; this is what comparable listings we hold disclose, never converted between currencies or periods. How this is calculated.
Skills named in the ad
Recognised terms only, from a fixed vocabulary — this is what CV matching compares against.
Carried by 1 source
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JazzHR employer's own board first seen 15d ago · last seen 10h ago
- location not stated
The listing
We are seeking a highly experienced DRG Clinical Physician Reviewer to join our growing clinical review team. This is a fully remote opportunity for a physician with a strong background in utilization review and clinical validation who thrives in a fast-paced, data-driven environment.
In this role, you will review complex hospital cases to ensure accurate DRG assignment, validate clinical documentation, and support evidence-based determinations that directly impact healthcare quality and reimbursement integrity.
Responsibilities:
- Perform DRG Clinical Validation reviews to ensure diagnoses are accurate, supported, and compliant
- Evaluate medical records, diagnostic findings, and treatment plans using evidence-based guidelines
- Produce clear, concise clinical summaries and determinations within established turnaround times
- Identify opportunities for improved documentation, coding accuracy, and cost containment
- Conduct readmission and level of care reviews, including outlier and appeal cases
- Collaborate with internal teams and, when needed, engage with providers to support clinical findings
- Contribute to quality assurance initiatives and ongoing program development
- MD/DO required with active, unrestricted U.S License
- Board Certification required (ABMS or AOA)
- 5+ years of clinical practice experience
- REQUIRED: Strong utilization review experience (UM, DRG Validation, or clinical documentation review)
- Experience with DRG Validation, CDI, or claims review strongly preferred
- Proven ability to interpret complex clinical data and apply guidelines objectively
- Strong written communication skills with the ability to clearly justify clinical decisions
- 100% remote – work from anywhere in the U.S
- High-impact role influencing clinical accuracy and healthcare outcomes
- Join a growing, mission-driven team at the intersection of clinical care and healthcare analytics
- Consistent, structured workflow with meaningful case variety