Work With Lexcura Summit
Bring your clinical judgment to medical-legal work
Lexcura Summit is building a team of licensed clinicians who analyze medical records for attorneys and healthcare organizations. This is not chart review. It's structured clinical analysis that has to stand up to scrutiny.
See the rolesMedical-Legal Analysis
How this work is different
Most record review jobs ask you to summarize a chart or check it against a list. Our work asks more of you.
You analyze, not summarize.
Every case follows The Lexcura Clinical Intelligence Model™, seven pillars that show what the record proves, where it falls short, and what happened, when.
Every finding must be exact.
Each fact you confirm must match the page it comes from. You open the cited page, check the time, value or wording, and confirm or correct it.
The work is used in legal decisions.
Attorneys and healthcare leaders rely on our reports to decide whether to take a case, how to defend one, or what to fix. Accuracy matters more than speed.
You stay neutral.
We report what the records show, for and against. We don't advocate for either side.
You don't give legal opinions or testify.
Your work supports a screening report. It is not expert testimony and never states that care was negligent.
Confidentiality is strict.
You work only inside our secure system, under a signed confidentiality and business associate agreement. Records are never downloaded, printed, emailed or saved to personal devices.
Case offers
How case offers work
- 01
You're approved.
After your application, license verification and onboarding, you're added to our contractor team in the Lexcura portal.
- 02
A case offer arrives.
When a case is ready, the offer goes out through the Lexcura app at lexcuraanalysis.com to every qualified contractor for that role and specialty.
- 03
First to accept gets the case.
The first qualified contractor to accept the offer is assigned the case. Offers that are already taken close automatically.
- 04
Start within 2 hours, the same day.
Once you accept, you must start work within 2 hours, on the same day. Each offer shows its completion deadline before you accept, so only accept work you can finish on time.
Only accept a case if you can start within 2 hours and finish by the deadline shown. Repeated late starts or missed deadlines may affect future offers.
Professional roles
The roles
Clinical Analyst
Works a case through our seven-pillar method and builds the evidence that the report is written from.
Requirement: Active, unrestricted license at RN level or above, with at least 3 years of hands-on clinical experience.
Clinical Analyst
What you'll do
- Work through assigned cases in the Lexcura portal, step by step, following The Lexcura Clinical Intelligence Model™
- Confirm the case timeline in true date and time order, from the first relevant event to the outcome
- Identify missing records, late entries, gaps and conflicts between documents
- Flag questions about care, escalation and timing for clinical review
- Cite the exact page for every fact
What this role is not: summarizing charts, giving opinions on negligence, or contacting anyone involved in the case.
Read full job description (PDF)Clinical Reviewer
Checks each finding against the cited records, confirms or corrects it, and applies our scoring standards.
Requirement: Active, unrestricted license at RN level or above, with at least 3 years of hands-on clinical experience.
Clinical Reviewer
What you'll do
- Review findings on the specific record pages they cite, inside the Lexcura portal
- Open every cited page and confirm the time, value or wording before accepting a finding
- Correct findings that don't match the record, and explain each correction
- Choose the scoring level for each measure using our written definitions, with a short reason and page citations
- Flag anything that needs a specialist's input
What this role is not: re-reviewing the whole chart, or approving findings without checking the source pages.
Read full job description (PDF)Specialist Clinician
Answers the specialty questions a case raises, in your own field of practice.
Requirement: Active, unrestricted license, with a minimum of 5 years of experience in the specialty you'll review. Specialties include obstetrics and labor and delivery, neonatal intensive care, emergency medicine, critical care, cardiology, behavioral health, long-term care and geriatrics, home health and hospice, and rehabilitation. Physicians, advanced practice providers, CRNAs and specialty-certified RNs are welcome to apply.
Specialist Clinician
What you'll do
- Answer specific questions from the clinical team about expected practice, timing and clinical significance in your specialty
- Review the relevant record pages and explain what they show
- Identify factors that support or point away from a link between the care and the outcome
- Keep your answers within the screening scope: what the records show and what an expert should look at
What this role is not: serving as an expert witness or giving testimony. If a case later needs an expert, that is a separate engagement.
Read full job description (PDF)QA Reviewer
Checks every finished report before it's released, so nothing goes out with an error.
Requirement: Active, unrestricted license at RN level or above, with at least 3 years of clinical experience. Experience in quality, compliance, utilization review or legal nurse work is a plus.
QA Reviewer
What you'll do
- Check finished reports against our QA checklist before release
- Confirm a sample of page citations match the record exactly
- Confirm the timeline is complete, in order, and runs through the outcome
- Check that findings, scores and conclusions don't contradict each other
- Check that the report status, names, dates and format are correct
- Return reports with any problems listed, and release only when every item passes
What this role is not: rewriting the analysis or changing clinical findings without the reviewer's input.
Read full job description (PDF)What every contractor needs
- An active, unrestricted license in good standing (we verify every license)
- Experience that meets the role's requirement
- Living and working in the United States
- A private, secure place to work and a computer with a current, supported operating system and up-to-date security software
- Availability to start cases within 2 hours of accepting them
- Willingness to sign our independent contractor agreement, confidentiality agreement and business associate agreement
- Completion of our onboarding and confidentiality training before your first case
- Disclosure of any conflicts of interest, such as your current employer or facilities you've worked for, so we never assign you a case involving them
Working as an independent contractor
You'll work as an independent contractor, not an employee. You choose which offers to accept. Pay is per completed task, and rates are shared during onboarding. Tax forms are collected securely during onboarding, not on this page.
Your application
Apply to join our clinical team
Frequently asked questions
Is this full-time work?
No. You choose which case offers to accept. There's no guaranteed number of cases.
Can I work while employed elsewhere?
Yes, as long as your employer allows it and you disclose your employer for conflict checks. You'll never be offered a case involving a facility you've worked for.
Do I need medical-legal analysis experience?
No, but it helps. We train every contractor on our method before the first case.
Will I have to testify?
No. This work supports screening reports and is not expert testimony.
Where do I do the work?
Entirely inside the secure Lexcura portal. Records never leave the system.