Prospective Chart Reviewer

4 days ago

Bengaluru Karnataka, India Agilon Health Full time

Company:
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 alerts and presents those that are strongly suggestive of an underlying condition
- Present information to providers in a concise complete manner
- All other duties as assigned

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 by meeting productivity standards and maintaining a company standard of accuracy

Qualifications:
Minimum Experience
- 2+ years of clinical experience required
- Advanced level of clinical knowledge associated with chronic disease states required
- Relevant chart review experience required

Education/Licensure:

- Medical Doctor or Nurse required
- Coding Certification through AHIMA or AAPC preferred

Skills and Abilities:
Location:
India_Bangalore

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