The Prospective (PMRR) Chart Reviewer Training & Quality Manager will be responsible for providing training and coaching to Prospective Chart Reviewers on the identification of clinical alerts in patients’ medical records. The Manager will be responsible for training and overseeing the quality strategy of the prospective chart review team. This role will require a deep understanding of diagnostic clinical guidelines, medical coding and clinical documentation requirements.
- Develop and deliver training programs to new and existing prospective chart reviewers.
- Conduct onboarding, training sessions and workshops for recent and existing Prospective Chart Reviewers.
- Evaluate the effectiveness of training programs and make recommendations for improvement.
- Monitor the progress of trainees and provide feedback to ensure that they meet quality standards.
- Stay up-to-date on changes in medical coding, billing, and clinical documentation requirements and ensure that training materials are updated accordingly.
- Oversee the trainers and team of reviewers to ensure production & quality targets are being met
- Support and facilitate process of creating and updating prospective chart reviewer guidelines
- Collaborate with the Manager of Risk Adjustment, Prospective Programs to identify areas where additional training and support may be needed.
📌 Manager - Medical Reviewer - Remote (Bengaluru)
🏢 Recruise India Consulting
📍 Bengaluru
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