Prospective Chart Reviewer

5 days ago


Bengaluru, Karnataka, India agilon health Full time ₹ 5,00,000 - ₹ 15,00,000 per year

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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