Coding Quality Auditor - Bengaluru, India - Agilon Health

Agilon Health

Verified Company

Bengaluru, India

1 week ago

Posted by:

Deepika Kaur

beBee Recuiter

Description

Company:
AHIPL Agilon Health India Private Limited

Job Posting Location:
India_Bangalore

Job Title:
Coding Quality Auditor

Job Description:

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 thirdparty 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's 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
Required Qualifications:Minimum Experience

At least 2-4 years of risk adjustment coding and/or auditing experience- Education/Licensure:

Minimum of High School Diploma, Bachelor's Degree preferred
Coding Certification (CCS, or CPC/CRC through AHIMA/AAPC) required
Skills and Abilities:
Language Skills:_ Strong communication skills both written and verbal to work with multiple internal and external clients in a fast-paced environment-
_

Computer Skills:
_Ability to create and maintain documents using Microsoft Office (Word, Excel, Outlook, PowerPoint)
Location:
India_Bangalore