Prospective Chart Reviewer

Company:

AHIPL Agilon Health India Private Limited

Job Posting Location:

India_Bangalore

Job Title:

Prospective Chart Reviewer

Job Description:

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:

Minimum Experience

• 2+ years of clinical experience required
• Advanced level of clinical knowledge associated with chronic disease states required
• Relevant chart review experience required
  
  

Education/Licensure:

• Medical Doctor
• Coding Certification through AHIMA or AAPC preferred
  
  

Skills and Abilities:

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