Criteria for Reviewer role:
Clinical background: MBBS/MD/BDS/MDS is a must.
clinical review/chart review / coding experience required.
Strong in ICD-10 mandatory.
clinical experience preferred.
CPC or CRC or any coding certification is added advantage.
Position Summary:
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
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