Prospective Chart Reviewer Training

2 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 Training & Quality Manager

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 Reviewers.
  • Evaluate the effectiveness of training programs and make recommendations for improvement.
  • Monitor the progress of trainees and provide feedback to ensure that they meet quality standards.
  • Stay up-to-date on changes in medical coding, billing, and clinical documentation requirements and ensure that training materials are updated accordingly.
  • Collaborate with the Manager of Risk Adjustment, Prospective Programs to identify areas where additional training and support may be needed.
  • Stay up-to-date on changes in regulatory requirements and best practices related to chart review and incorporate these into training content as needed.
  • Create training materials, such as manuals, presentations, and visual aids, which are clear and concise.
  • 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.

Requirements:

Minimum Experience:

  • 2+ years of clinical experience required.
  • Advanced level of clinical knowledge associated with chronic disease states required.
  • 5 years of Relevant chart review experience required.
  • 1+ years of experience as a trainer or instructor preferred.

Education/Licensure:

  • Medical Doctor or Nurse required.
  • Coding Certification through AHIMA and AAPC preferred.

Skills and Abilities:

  • Effective communication and presentation skills
  • Ability to create and deliver effective training materials and job aids.
  • Ability to provide individual coaching and support to team members.
  • Ability to work independently and as part of a team.
  • Strong analytical and critical thinking skills
  • Excellent attention to detail and accuracy
  • Proficient in Microsoft Office (Word, Excel, Outlook, PowerPoint)

Skills and Abilities:

Language Skills: Effective 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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