Qualification Bachelor s degree in Life Sciences Allied Health Sciences or an equivalent field Skills Competencies Medical Knowledge Strong understanding of medical terminology anatomy and physiology Communication Skills Excellent written and verbal communication skills to interact effectively with healthcare staff and document findings clearly Technical Proficiency Proficiency in Electronic Health Record EHR systems medical coding software and MS Office Analytical Skills Ability to assess medical records for accuracy completeness and compliance with healthcare standards Job Responsibilities Chart Review Examine patient medical records to ensure completeness accuracy and compliance with regulatory standards Verify correct coding of diagnoses treatments and procedures Compliance Quality Assurance Ensure adherence to healthcare regulations e g HIPAA ICD-10 and institutional guidelines Maintain high standards of documentation accuracy and integrity Data Validation Confirm that all relevant medical data including physician notes test results and patient histories are appropriately documented and valid Coding Review Cross-check procedures diagnoses and treatments for accurate coding including ICD-10 CPT and HCPCS codes Collaboration Work closely with healthcare providers including physicians nurses and medical coders to address discrepancies or incomplete documentation Audit Support Assist in internal and external audits by providing necessary documentation and clarifications when discrepancies are identified Report Creation Prepare detailed reports on chart reviews documenting issues found and steps taken to resolve them Patient Privacy Confidentiality Ensure strict adherence to patient confidentiality policies in compliance with HIPAA and other privacy regulations Documentation Record Keeping Maintain accurate records of chart reviews and corrective actions for future reference and audits This job description outlines the key qualifications skills and responsibilities required for a Clinical Reviewer ensuring adherence to healthcare standards and regulatory compliance Job Types Full time Permanent Fresher Pay 16 000 00 per month Benefits Health insurance Provident Fund Education Bachelor s Preferred Work Location In person

📌 Clinical Reviewer (Karnataka)
🏢 Gravita Oasis Review Solutions
📍 Karnataka