J - Prospective Chart Reviewers

3 weeks ago


Sany, India Randstad India Full time

Position Summary:

Prospective chart reviewers help to identify clinicalalerts in a patients history that may support an underlyingdiagnosis. These alerts are presented to a provider on apointofcare tool to use during an encounter. This allows thecondition to be addressed by the clinician.

Essential Job Functions:

Performs previsit medical record reviews to identifychronic conditions reported in prior years

Identify diagnoses that lack supporting documentation

Prioritizes clinical alerts and presents those that arestrongly suggestive of an underlying condition

Present information to providers in a concise completemanner

All other duties as assigned.

Other Job Functions:

Understand adhere to and implement the Companys policiesand procedures.

Provide excellent customerservices skills including consistently displaying

awareness and sensitivity to the needs of internal and/orexternal clients.

Proactively ensuring thatthese needs are met or exceeded.

Take personalresponsibility for personal growth including acquiring new skillsknowledge and information.

Engage in excellentcommunication which includes listening attentively and speakingprofessionally.

Set and complete challenginggoals.

Demonstrate attention to detail andaccuracy in work product by meeting

productivitystandards and maintaining a company standard of accuracy.

Qualifications:

1.Minimum Experience

2 years of clinicalexperience required

Advanced level of clinicalknowledge associated with chronic disease states required

Relevant chart review or coding experiencerequired

ICD 10 experience required

2. Education/Licensure:

Medical Doctor / Physician

CodingCertification through AHIMA or AAPC added advantage.



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