Location
Bangalore | India
Job description
Criteria for Reviewer role:
Clinical background: MBBS/MD/BDS/MDS is a must.
clinical review/chart review / coding experience required.
Strong in ICD-10 mandatory.
clinical experience preferred.
CPC or CRC or any coding certification is added advantage.
Position Summary:
Prospective chart reviewers help to identify clinical alerts in a patients’ history that may
support an underlying diagnosis. These alerts are presented to a provider on a point-
of-care tool to use during an encounter. This allows the condition to be addressed by
the clinician.
Essential Job Functions:
Performs pre-visit medical record reviews to identify chronic conditions reported in prior years
Identify diagnoses that lack supporting documentation
Prioritizes clinical alerts and presents those that are strongly suggestive of an underlying condition
Present information to providers in a concise complete manner
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
Qualifications:
1. Minimum Experience
2+ years of clinical experience required
Advanced level of clinical knowledge associated with chronic disease states required
Relevant chart review experience required show more
Job tags
Salary
