Prospective Chart Reviewer
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 · 1+ years of clinical experience required · Advanced level of clinical knowledge associated with chronic disease states required · Relevant chart review or coding experience required · ICD 10 experience required 2.
Education/Licensure: · Medical Doctor / Physician · Coding Certification through AHIMA or AAPC added advantage. experience 8 working at a client of randstad india null