Prospective Chart Reviewer
5 days ago
Company:
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 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:
Language Skills: Strong communication skills both written and verbal to work with multiple internal and external clients in a fast-paced environment Mathematical Skills: Ability to work with mathematical concepts such as probability and statistical inference. Ability to apply concepts such as fractions, percentages, ratios, and proportions to practical situations. Reasoning Ability: Ability to apply principles of logical or scientific thinking to a wide range of intellectual and practical problems. Computer Skills: Ability to create and maintain documents using Microsoft Office (Word, Excel, Outlook, PowerPoint)
Location:
India_Bangalore
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