Prospective Chart Review Quality Auditor

1 month ago

Bengaluru, India Agilon Health Full time

Company:
AHIPL Agilon Health India Private Limited

Job Posting Location:
India_Bangalore

Job Title:
Prospective Chart Review Quality Auditor

**Job Description**:

- Performs audits of pre-visit medical record reviews to identify chronic conditions reported in prior years and conditions that lack supporting documentation.
- Evaluates suggestions or clinical alerts presented by Prospective Chart reviewers, ensure that these suggestions meet specificity requirements to support clinical indicators and in compliance with Risk Adjustment documentation standards.
- Conducts review and communicates feedback to professionals such as Clinical Chart Reviewers and third-party vendors.
- Responds to questions submitted by Prospective Chart reviewers.
- Document detailed audit findings including all errors and missed opportunities in the Prospective chart reviews.
- Correlate activities, processes and HCC results/ metrics to evaluate outcomes.
- Assist in developing workflows, curriculum and policies and procedures related to the Pre-visit Medical Record review team.

Other Job Functions:

- Understand, adhere to, and implement the Company’s policies and procedures.
- Provide excellent customer services skills, including consistently displaying awareness and sensitivity to the needs of internal and/or external clients. Proactively ensuring that these needs are met or exceeded.
- Take personal responsibility for personal growth including acquiring new skills, knowledge, and information.
- Engage in excellent communication which includes listening attentively and speaking professionally.
- Set and complete challenging goals.
- Demonstrate attention to detail and accuracy in work product.

Required Qualifications:
Minimum Experience
- 2+ years of clinical experience required
- 5+ year of chart review and medical coding/auditing experience required
- Advanced level of clinical knowledge associated with chronic disease states required

Education/Licensure:

- Medical doctor or Nurse required
- Coding Certification through AHIMA or AAPC required
- CPC or CPMA preferred

Skills and Abilities:
Ability to be a team player and exercise initiative in responding to provider requests and concerns in a helpful and courteous manner Provider contracting and customer service techniques General understanding of the health care industry, ideally the provider relations field-desired Excellent interpersonal and telephone communication skills are required Exercise attention to detail; ability to provide accurate data entry Ability to work under pressure with mínimal supervision, multi-task, complete projects in a timely fashion and meet deadlines a must Excellent analytical, problem solving and organizational skills a must.
_Language Skills:_ Strong communication skills both written and verbal to work with multiple internal and external clients in a fast-paced environment
_Computer Skills: _Ability to create and maintain documents using Microsoft Office (Word, Excel, Outlook, PowerPoint)

**Location**:
India_Bangalore

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