Prospective Chart Review Quality Auditor Agilon Health

2.0 - 6.0 years

0 Lacs

karnataka

On-site

Role Overview: As a Prospective Chart Review Quality Auditor at AHIPL Agilon Health India Private Limited, your main responsibility will be to perform audits of pre-visit medical record reviews to identify chronic conditions reported in prior years and conditions that lack supporting documentation. You will also be evaluating suggestions or clinical alerts presented by Prospective Chart reviewers, ensuring that these suggestions meet specificity requirements to support clinical indicators and comply with Risk Adjustment documentation standards. Additionally, you will conduct reviews and communicate feedback to professionals such as Clinical Chart Reviewers and third-party vendors, as well as...

Posted 1 month ago

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Medical Coder ||Team Lead || SME || Trainer || Hyd Softcode Solutions

1.0 - 4.0 years

2 - 6 Lacs

hyderabad

Work from Office

We are looking for experienced HCC Medical Coding Professionals to join our team as Team Leads, Subject Matter Experts (SMEs), and Trainers. The ideal candidates will have in-depth knowledge of HCC Risk Adjustment coding , the CMS-HCC and Rx-HCC models , and strong leadership or mentoring experience. Role & responsibilities Review and code medical records accurately based on CMS Risk Adjustment guidelines. Audit and monitor coding quality and compliance across the team. Guide, mentor, and train medical coders to ensure high accuracy and productivity. Conduct refresher and onboarding training sessions for new coders. Stay updated on CMS-HCC/Rx-HCC model changes, ICD-10 updates, and payer guid...

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E&M GI || Radiology Imaging Medical Coder || Coimbatore Softcode Solutions

1.0 - 5.0 years

3 - 8 Lacs

coimbatore

Work from Office

We are hiring experienced E&M Medical Coders specializing in Gastroenterology (GI) and Radiology/Imaging for our Coimbatore team. The ideal candidate should have strong hands-on experience in E&M coding, with sound knowledge of CPT, ICD-10-CM, and HCPCS coding systems, and an ability to maintain accuracy and compliance with payer and CMS guidelines. Role & responsibilities Review and analyze medical records for E&M GI and Radiology/Imaging encounters. Assign accurate CPT, ICD-10, and HCPCS codes as per documentation. Ensure compliance with E&M leveling and coding guidelines. Maintain productivity, accuracy, and turnaround time benchmarks. Collaborate with QA and audit teams to resolve discre...

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Medical Coder || E&M and Surgery Departments Softcode Solutions

1.0 - 5.0 years

3 - 6 Lacs

coimbatore, mumbai (all areas)

Work from Office

We are hiring Medical Coders experienced in E&M (Evaluation & Management) and Surgery departments for our Mumbai and Coimbatore locations. The ideal candidate should have at least 1 year of hands-on coding experience with strong knowledge of CPT, ICD-10-CM, and HCPCS guidelines. Role & responsibilities Review medical records and assign accurate codes for E&M and Surgical procedures. Ensure coding accuracy and compliance with CMS and payer-specific guidelines. Meet productivity and quality benchmarks. Collaborate with QA and audit teams for continuous improvement. Stay updated with the latest coding standards and regulatory changes. Preferred candidate profile Minimum 1 year of hands-on exper...

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Staff Nurse - OT Medipulse Hospital

2.0 - 6.0 years

0 Lacs

jodhpur, rajasthan

On-site

You will be responsible for assessing the patient's condition before surgery to ensure their well-being. It will be your duty to prepare the Operating Room with all the necessary supplies, implants, instrumentation, and equipment required for the procedure. Maintaining the sterilization of the operating room and positioning the patient on the operating table will be crucial tasks. During the operation, you will pass medical instruments to the surgeons and monitor the patient's vital signs closely. Post-surgery, evaluating the patients and reviewing charts for completeness as per documentation protocols will be part of your responsibilities. Adhering to health and safety standards is mandator...

Posted 2 months ago

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