Key Responsibilities:
- 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.
Skills and Qualifications:
- 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 .
What We Offer:
- 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