Medical Abstractor & Clinical Auditor

• Review the Medical Coding Console:
  
• Regularly review the Medical Coding Console numbers for assigned hospitals or insurance groups to ensure timely processing of the Discharge Summaries
  
• Review Incomplete DS Dashboard:
  
• Push discharge summaries from the Incomplete DS dashboard as required.
  
• Quality Assurance:
  
• Maintain a quality score of 98% or higher by ensuring discharge summaries are accurately mapped to their respective medical conditions and specialities.
  
• Team Coordination:
  
• Collaborate with other medical abstractors to ensure daily inventory is completed and no items remain pending.
  
• Identifying Wrong Discharge Summaries:
  
• Notify the Program Manager/Client Account Lead about any incorrect discharge summaries requiring deletion and send the necessary email for resolution.
  
• Mapping for New Clients:
  
• Assist in mapping discharge summaries for new clients during the implementation phase.
  

The primary duties as a Quality Auditor include: -

• Performing audit functions for the members of the care management teams with the objective to ensure all the regulatory and quality standards are met.
  
• Listen to the health care coach�s call recording.
  
• Ensure that the health care coaches have followed the process workflow, asked all relevant symptoms and questions to the patients.
  
• Have an eye for detail for any deviation from the expected call flow.
  
• Process Improvement through continuous feedback and coaching.
  
• Review complete call quality.
  
• Maintaining tracking tools to log audit results including areas of non-compliance and identifying areas of improvement.
  
• Training the care management teams on all the gaps as identified using quality assessments.
  
• Evaluate and analyze aggregate quality performance data.
  

• Strong attention to detail and organizational skills.
  
• Proficiency in medical terminology and understanding of discharge summaries.
  
• Ability to meet quality benchmarks and adhere to deadlines.
  
• Effective communication and coordination skills.
  
• Familiarity/Experience working on Patient Care Co-ordination digital platforms .
  

• A collaborative work environment.
  
• Opportunities for professional growth and development.
  
• Competitive compensation package.
  
• Paid Sick Days
  
• Health Insurance
  
• Work hour flexibility
  
• Work from home
  

Job Type: Full-time

Pay: ₹250,000.00 - ₹318,000.00 per year

Benefits:

• Health insurance
  
• Leave encashment
  
• Paid time off
  
• Provident Fund
  
• Work from home
  

Schedule:

• Day shift
  

Supplemental Pay:

• Performance bonus
  
• Yearly bonus
  

Experience:

• total work: 1 year (Preferred)
  

Work Location: In person