Job Description

Company: AHIPL Agilon Health India Private Limited

Job Posting Location: India_Bangalore

Job Title: Coding Quality Auditor-3

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Essential Job Functions:

• Performs coding audits providing expert coding and documentation education, timely feedback and coaching.
• Performs expert level review of submitted visit notes; identifies gaps in clinical documentation that may require additional education.
• Conducts review and communicates feedback to professionals such as Clinical Chart Reviewers, market coders and third-party vendors.
• Responds to coding questions submitted by market coders.
• Evaluates documentation to ensure diagnosis coding is supported, meets specificity requirements to support clinical indicators and in compliance with Risk Adjustment documentation standards.
  • Review and analysis of clinical documentation for missed HCC coding opportunities
  • Review and analysis of clinical documentation for unsupported HCC coding
• Document detailed chart audit findings including all coding and documentation errors as well as any potential HCC opportunities
• Audits Coder queries to ensure verbiage is AHIMA compliant.
• Correlate activities, processes and HCC results/ metrics to evaluate outcomes.
• Assist in developing workflows and policies and procedures related to the Coding Department

Other Job Functions:

• Understand, adhere to, and implement the Company\xe2\x80\x99s 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.
• Other duties as assigned by manager

Location: India_Bangalore