Prospective Chart Review Quality Auditor

2 days ago

Bengaluru, Karnataka, India Agilon Health Full time ₹ 12,00,000 - ₹ 36,00,000 per year
Company:AHIPL Agilon Health India Private LimitedJob Posting Location:India_BangaloreJob Title: ​Prospective Chart Review Quality AuditorJob Description: ​
  • Performs audits of pre-visit medical record reviews to identify chronic conditions reported in prior years and conditions that lack supporting documentation.
  • Evaluates suggestions or clinical alerts presented by Prospective Chart reviewers, ensure that these suggestions meet specificity requirements to support clinical indicators and in compliance with Risk Adjustment documentation standards.
  • Conducts review and communicates feedback to professionals such as Clinical Chart Reviewers and third-party vendors.
  • Responds to questions submitted by Prospective Chart reviewers.
  • Document detailed audit findings including all errors and missed opportunities in the Prospective chart reviews.
  • Correlate activities, processes and HCC results/ metrics to evaluate outcomes.
  • Assist in developing workflows, curriculum and policies and procedures related to the Pre-visit Medical Record review team.

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.

Required Qualifications:

Minimum Experience

  • 2+ years of clinical experience required
  • 5+ year of chart review and medical coding/auditing experience required
  • Advanced level of clinical knowledge associated with chronic disease states required

Education/Licensure:

  • Medical doctor or Nurse required
  • Coding Certification through AHIMA or AAPC required
  • CPC or CPMA preferred

Skills and Abilities:

Ability to be a team player and exercise initiative in responding to provider requests and concerns in a helpful and courteous manner Provider contracting and customer service techniques General understanding of the health care industry, ideally the provider relations field-desired Excellent interpersonal and telephone communication skills are required Exercise attention to detail; ability to provide accurate data entry Ability to work under pressure with minimal supervision, multi-task, complete projects in a timely fashion and meet deadlines a must Excellent analytical, problem solving and organizational skills a must. 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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