Prospective Chart Review Quality Auditor-1
3 weeks ago
Company:
AHIPL Agilon Health India Private Limited
Job Posting Location:
India_Bangalore
Job Title:
Prospective Chart Review Quality Auditor-1
**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
-
Prospective Chart Review Quality Auditor
2 weeks ago
Bengaluru, India Agilon Health Full timeCompany: 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...
-
Prospective Chart Review Quality Auditor
6 days ago
Bengaluru, Karnataka, India Agilon Health Full timeCompany:AHIPL Agilon Health India Private LimitedJob Posting Location:India_BangaloreJob Title:Prospective Chart Review Quality AuditorJob Description: Performs audits of previsit medical record reviews to identify chronic conditions reported in prior years and conditions that lack supporting documentation. Evaluates suggestions or clinical alerts presented...
-
Prospective Chart Reviewer-1
2 months ago
Bengaluru, India Agilon Health Full timeCompany: AHIPL Agilon Health India Private Limited Job Posting Location: India_Bangalore Job Title: Prospective Chart Reviewer-1 **Job Description**: Essential Job Functions: - Performs pre-visit medical record reviews to identify chronic conditions reported in prior years - Identify diagnoses that lack supporting documentation - Prioritizes clinical...
-
Prospective Chart Review Trainer
3 weeks ago
Bengaluru, India Agilon Health Full timeCompany: AHIPL Agilon Health India Private Limited Job Posting Location: India_Bangalore Job Title: Prospective Chart Review Trainer **Job Description**: Essential Job Functions: - Develop and deliver training programs to new and existing prospective chart reviewers. - Conduct onboarding, training sessions and workshops for new and existing Prospective...
-
Prospective Chart Reviewer
2 months ago
Bengaluru, Karnataka, India Agilon Health Full timeCompany: AHIPL Agilon Health India Private Limited Job Posting Location: India_Bangalore Job Title: Prospective Chart Reviewer **Job Description**: Essential Job Functions: - Performs pre-visit medical record reviews to identify chronic conditions reported in prior years - Identify diagnoses that lack supporting documentation - Prioritizes clinical...
-
Prospective Chart Reviewer
3 weeks ago
Bengaluru, Karnataka, India Agilon Health Full timeCompany: AHIPL Agilon Health India Private Limited Job Posting Location: India_Bangalore Job Title: Prospective Chart Reviewer **Job Description**: Essential Job Functions: - Performs pre-visit medical record reviews to identify chronic conditions reported in prior years - Identify diagnoses that lack supporting documentation - Prioritizes clinical...
-
Prospective Chart Reviewer
2 weeks ago
Bengaluru, India Agilon Health Full timeCompany: AHIPL Agilon Health India Private Limited **Location**: India_Bangalore Job Title: Prospective Chart Reviewer **Job Description**: Essential Job Functions: - Performs pre-visit medical record reviews to identify chronic conditions reported in prior years - Identify diagnoses that lack supporting documentation - Prioritizes clinical alerts and...
-
Prospective Chart Reviewer
2 months ago
Bengaluru, India Agilon Health Full timeCompany: AHIPL Agilon Health India Private Limited Job Posting Location: India_Bangalore Job Title: Prospective Chart Reviewer **Job Description**: Essential Job Functions: - Performs pre-visit medical record reviews to identify chronic conditions reported in prior years - Identify diagnoses that lack supporting documentation - Prioritizes clinical...
-
Prospective Chart Reviewer
3 weeks ago
Bengaluru, India Agilon Health Full timeCompany: AHIPL Agilon Health India Private Limited Job Posting Location: India_Bangalore Job Title: Prospective Chart Reviewer **Job Description**: Essential Job Functions: - Performs pre-visit medical record reviews to identify chronic conditions reported in prior years - Identify diagnoses that lack supporting documentation - Prioritizes clinical...
-
Prospective Chart Review Trainer-2
3 weeks ago
Bengaluru, India Agilon Health Full timeCompany: AHIPL Agilon Health India Private Limited Job Posting Location: India_Bangalore Job Title: Prospective Chart Review Trainer-2 **Job Description**: Essential Job Functions: - Develop and deliver training programs to new and existing prospective chart reviewers. - Conduct onboarding, training sessions and workshops for new and existing...
-
Prospective Chart Review Trainer-2
6 days ago
Bengaluru, Karnataka, India Agilon Health Full timeCompany:AHIPL Agilon Health India Private LimitedJob Posting Location:India_BangaloreJob Title:Prospective Chart Review Trainer-2Job Description:Essential Job Functions: Develop and deliver training programs to new and existing prospective chart reviewers. Conduct onboarding, training sessions and workshops for new and existing Prospective Chart Reviewers....
-
j - prospective chart reviewers
6 days ago
Bengaluru, Karnataka, India Randstad Full timePosition Summary:Prospective chart reviewers help to identify clinical alerts in a patients' history that may support an underlying diagnosis. These alerts are presented to a provider on a point-of-care tool to use during an encounter. This allows the condition to be addressed by the clinician.Essential Job Functions: Performs pre-visit medical record...
-
Prospective Chart Reviewer-14
2 months ago
Bengaluru, Karnataka, India Agilon Health Full timeCompany: AHIPL Agilon Health India Private Limited Job Posting Location: India_Bangalore Job Title: Prospective Chart Reviewer-14 **Job Description**: Essential Job Functions: - Performs pre-visit medical record reviews to identify chronic conditions reported in prior years - Identify diagnoses that lack supporting documentation - Prioritizes clinical...
-
Prospective Chart Reviewer-15
2 months ago
Bengaluru, Karnataka, India Agilon Health Full timeCompany: AHIPL Agilon Health India Private Limited Job Posting Location: India_Bangalore Job Title: Prospective Chart Reviewer-15 **Job Description**: Essential Job Functions: - Performs pre-visit medical record reviews to identify chronic conditions reported in prior years - Identify diagnoses that lack supporting documentation - Prioritizes clinical...
-
Prospective Chart Reviewer-2
2 months ago
Bengaluru, Karnataka, India Agilon Health Full timeCompany: AHIPL Agilon Health India Private Limited Job Posting Location: India_Bangalore Job Title: Prospective Chart Reviewer-2 **Job Description**: Essential Job Functions: - Performs pre-visit medical record reviews to identify chronic conditions reported in prior years - Identify diagnoses that lack supporting documentation - Prioritizes clinical...
-
Prospective Chart Reviewer-11
4 weeks ago
Bengaluru, Karnataka, India Agilon Health Full timeCompany: AHIPL Agilon Health India Private Limited Job Posting Location: India_Bangalore Job Title: Prospective Chart Reviewer-11 **Job Description**: Essential Job Functions: - Performs pre-visit medical record reviews to identify chronic conditions reported in prior years - Identify diagnoses that lack supporting documentation - Prioritizes clinical...
-
Prospective Chart Reviewer-16
2 months ago
Bengaluru, Karnataka, India Agilon Health Full timeCompany: AHIPL Agilon Health India Private Limited Job Posting Location: India_Bangalore Job Title: Prospective Chart Reviewer-16 **Job Description**: Essential Job Functions: - Performs pre-visit medical record reviews to identify chronic conditions reported in prior years - Identify diagnoses that lack supporting documentation - Prioritizes clinical...
-
Prospective Chart Reviewer
2 weeks ago
Bengaluru, Karnataka, India Agilon Health Full timeCompany: AHIPL Agilon Health India Private Limited Job Posting Location: India_Bangalore Job Title: Prospective Chart Reviewer - 2 **Job Description**: Essential Job Functions: - Performs pre-visit medical record reviews to identify chronic conditions reported in prior years - Identify diagnoses that lack supporting documentation - Prioritizes clinical...
-
Prospective Chart Reviewer-8
3 weeks ago
Bengaluru, Karnataka, India Agilon Health Full timeCompany: AHIPL Agilon Health India Private Limited Job Posting Location: India_Bangalore Job Title: Prospective Chart Reviewer-8 **Job Description**: Essential Job Functions: - Performs pre-visit medical record reviews to identify chronic conditions reported in prior years - Identify diagnoses that lack supporting documentation - Prioritizes clinical...
-
Prospective Chart Reviewer-13
2 months ago
Bengaluru, India Agilon Health Full timeCompany: AHIPL Agilon Health India Private Limited Job Posting Location: India_Bangalore Job Title: Prospective Chart Reviewer-13 **Job Description**: Essential Job Functions: - Performs pre-visit medical record reviews to identify chronic conditions reported in prior years - Identify diagnoses that lack supporting documentation - Prioritizes clinical...