Manager - Medical Data Abstraction

5 days ago

Bengaluru, Karnataka, India Omega Healthcare Full time ₹ 12,00,000 - ₹ 36,00,000 per year

Preferred Skills -

Strong knowledge of medical data abstraction, clinical documentation, and RCM workflow.

Expertise in ICD-10, CPT, HCPCS, and quality measure abstraction (HEDIS, MIPS, etc.).

Excellent analytical, organizational, and problem-solving abilities.

Skilled in EHR/EMR platforms (Epic, Cerner, Meditech, etc.).

Strong leadership and team management capabilities.

Effective communication and stakeholder management skills.

Job Responsibility -

  1. Team & Operations Management

Lead and manage the medical data abstraction team to ensure accuracy, timeliness, and compliance with organizational and payer standards.

Assign workloads, monitor performance, and ensure achievement of SLAs and KPIs.

Provide ongoing training, mentoring, and performance evaluations for team members.

Oversee day-to-day abstraction operations and ensure smooth coordination with coding and billing teams.

  1. Data Abstraction & Quality Oversight

Review and validate abstracted data from patient charts, EHRs, and clinical documentation.

Ensure accurate capture of clinical parameters, diagnoses, procedures, and quality metrics.

Perform periodic quality audits and implement corrective action plans to maintain accuracy standards.

Monitor abstraction accuracy and consistency to minimize data discrepancies.

  1. Compliance & Standards

Ensure all data abstraction aligns with HIPAA, CMS, payer-specific, and quality reporting guidelines.

Maintain compliance with ICD-10, CPT, and HEDIS or registry abstraction standards (as applicable).

Keep the team informed about regulatory updates and new abstraction protocols.

Develop and maintain Standard Operating Procedures (SOPs) for abstraction activities.

  1. Cross-Functional Collaboration

Collaborate with coding, billing, QA, and clinical documentation improvement (CDI) teams for end-to-end RCM alignment.

Collaborate with clients, physicians, and quality teams to resolve abstraction discrepancies or clarifications.

Provide insights to process improvement initiatives and workflow optimization.

  1. Reporting & Analytics

Generate and analyze reports on abstraction accuracy, productivity, and quality metrics.

Track and present KPI performance to senior leadership.

Interested applicants can share your resume to - with the subject line of "Applying for Manager role, Data Abstraction"

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