Logo for FairCode Associates, LLC

Remote Physician Consultant

Role overview

Qualifications

  • Board-certified M.D.
  • Unrestricted medical license
  • Licensed in the United States
  • 5+ years clinical experience, post residency

Responsibilities

  • Review and validate DRG assignments to ensure accurate coding and reimbursement.
  • Conduct comprehensive quality reviews to improve coding accuracy and hospital quality scores.
  • Analyze clinical documentation and payer denial responses to write specialized appeal letters.
  • Collaborate with hospital physicians and coding teams to provide advisory services that enhance the understanding of how clinical documentation impacts coding.

Key facts

  • Remote from: United States
  • Freelance
  • Senior (5-10 years)
  • Consultant
  • English

Hard skills

Other skills

  • Detail Oriented
  • Intellectual Curiosity
  • Collaboration

About the company

FairCode Associates, LLC logo

FairCode Associates, LLC

Digital Health & Health Tech

FairCode works with leading hospital systems to capture additional revenue and prevent denials by integrating the unique experience and training of physicians directly into the revenue cycle at scale, generating long-term, consistent results. Our founders recognized that the clinical precision a physician brings to billing ensures hospitals have the cash flow and financial health necessary to invest back into patient care. Today, as hospitals face rising costs, increasing patient acuity, flat reimbursements, and growing denial rates, our mission to support accurate billing and improve the broader healthcare system is more important than ever. To meet this challenge, FairCode works with leading hospital systems across the country as a complement to their robust documentation and coding programs. Our 5th generation, AI/ML-powered, proprietary algorithm leverages discharge data, case mix, historical review data, and other factors to zero in on cases that need a physician’s perspective to ensure that the clinical condition of patients is accurately reflected. For each case, our board-certified physicians use their robust clinical experience and training in the fundamentals of coding to interpret the medical evidence, identify gaps in documentation, ensure compliant, defensible coding, and anticipate denials before they happen. To do this at scale, generating long-term, consistent results, FairCode built a proprietary software platform which pinpoints cases and moves them securely and efficiently through the pipeline, capturing physician reviews and delivering transparent, quantifiable results back to the hospital. We also created a client success model where we operate as a seamless extension of the hospital team, driving the performance of the program with flexibility, rigor, and clear analytics so that hospital leadership teams are confident in the results. This unique approach is why hospitals rely on FairCode as a valuable component of their revenue cycle programs.

Company details

IndustryDigital Health & Health Tech
Company size51 - 200

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Job description

This is a remote position.

Position:  Remote Physician Consultant
Employment Type: Independent Contractor
Location: Fully Remote (Work from anywhere in the U.S.)
Hours: Flexible (10-40+ hours per week)

About Us:
FairCode is an innovative company dedicated to enhancing the accuracy of clinical documentation. Our mission is to bridge the gap between clinical care and coding, ensuring that hospitals receive proper reimbursement and reduce payer denials. 

Role Overview:
As a Remote Physician Consultant, you will play a crucial role in reviewing medical records to ensure accurate Diagnosis-Related Group (DRG) assignments. Your work will directly impact the financial health of hospitals by reducing payer denials and ensuring accurate reimbursement.

In response to the increasing trend of clinical and coding denials across the healthcare industry, you may also provide specialized appeal letter writing services. This involves analyzing medical records and payer denial responses to craft compelling appeals that support hospitals in securing proper reimbursement.

No Prior Experience Required – Comprehensive Training Provided:
We believe in equipping our team with the skills and knowledge necessary to excel in this role. We offer a comprehensive training program to ensure you are fully prepared to undertake DRG validation, quality reviews, and appeal letter writing.

Key Responsibilities:

  • Review and validate DRG assignments to ensure accurate coding and reimbursement.
  • Conduct comprehensive quality reviews to improve coding accuracy and hospital quality scores.
  • Analyze clinical documentation and payer denial responses to write specialized appeal letters.
  • Collaborate with hospital physicians and coding teams to provide advisory services that enhance the understanding of how clinical documentation impacts coding.
  • Set and manage your preferred schedule, balancing work with personal commitments.


Requirements

What you bring to the table:
  • Board-certified M.D.
  • Unrestricted medical license
  • Licensed in the United States
  • 5+ years clinical experience, post residency
  • Board-certified in one of the following:
    • Family Medicine
    • Emergency Medicine
    • Internal Medicine with fellowship (e.g., Endocrinology, Gastroenterology, Hematology/Oncology, Neurology, Rheumatology)
    • Pediatric Medicine with fellowship (e.g., Endocrinology, Gastroenterology, Hematology/Oncology, Neurology, Rheumatology)
  • Intellectual curiosity with strong attention to detail
At FairCode, we prefer to work with self-starters who take pride in their work. You'll be joining a growing team that truly values your contribution.



Benefits

Why FairCode?

  • Flexible Work Hours: Set your own schedule, with a minimum commitment of 10 hours per week.
  • Remote Position: Enjoy the convenience of working from home or anywhere in the U.S.
  • Work-Life Balance: We encourage a healthy balance between your professional and personal life.
  • Comprehensive Training: Gain the skills you need through our training program.
  • Impactful Work: Make a difference in the healthcare industry by improving coding accuracy and hospital quality scores.
  • Supportive Team: Join a team of dedicated professionals who value innovation, collaboration, and excellence.

If you are a board-certified physician looking to leverage your expertise in a flexible, remote role, we would love to hear from you!

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MR

Marcus Rivera

Chief Revenue Officer

m.rivera@company.com
linkedin.com/in/marcusrivera
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