Medical reviewer

10 hours ago

Bengaluru, Karnataka, India Omega Healthcare Management Services Full time

Company Description

Omega Healthcare Management Services, founded in 2003, is a leading provider of intelligent solutions designed to optimize healthcare revenue cycle operations, administrative workflows, care coordination, and clinical research on a global scale. With a workforce of over 35,000 skilled professionals, the company supports 350+ healthcare organizations worldwide, including in the United States, India, Colombia, and the Philippines. Omega Healthcare partners with providers, payers, life sciences companies, and other industry leaders to deliver end-to-end solutions such as medical records coding, claims management, care coordination, and health data curation. By integrating robust technology, specialty expertise, and operational support, Omega Healthcare enables healthcare systems to thrive efficiently.

Role Description

This is a full-time, on-site Medical Reviewer role located in Bengaluru. The Medical Reviewer will be responsible for reviewing, validating, and ensuring the accuracy of medical records, coding practices, and clinical documentation. Daily tasks include auditing medical charts, conducting clinical reviews for regulatory compliance, and collaborating with cross-functional teams to identify areas for improvement in clinical documentation. The role also involves contributing to risk adjustment processes, facilitating clinical documentation improvement initiatives, and ensuring compliance with healthcare guidelines and standards.

Qualifications

  • Proficiency in medical records review, chart auditing, and healthcare documentation standards
  • Experience in regulatory compliance, HCC coding, risk adjustment, and clinical documentation improvement
  • Strong understanding of healthcare administrative workflows such as claims management and denials analysis
  • Familiarity with healthcare technology, data curation, and quality assurance methodologies
  • Excellent analytical, problem-solving, and communication skills
  • Bachelor's degree or higher in a healthcare-related field (e.g., Nursing, Life Sciences, or allied medical disciplines)
  • Attention to detail and the ability to work effectively in a fast-paced environment

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