11 Nov
|
Gravita Oasis Review Solutions
|
Bengaluru
11 Nov
Gravita Oasis Review Solutions
Bengaluru
Company: Gravita Oasis Review Solutions Pvt Ltd
Location: Bengaluru, Karnataka, India
Employment Type: Full-Time | On-Site
About the RoleGravita Oasis Review Solutions Pvt Ltd is seeking detail-oriented and analytical professionals for the position of Clinical Reviewer (Medical Chart Reviewer).
The Clinical Reviewer will be responsible for reviewing and validating patient medical records to ensure clinical accuracy, documentation completeness, coding accuracy, and compliance with applicable healthcare regulations and quality standards.
The role involves working with clinical documentation, identifying discrepancies, validating medical information, and collaborating with healthcare professionals and medical coding teams to maintain documentation integrity and support quality assurance processes.
Key Responsibilities1. Medical Chart Review
- Review patient medical records for clinical accuracy, completeness, and consistency.
- Examine physician notes, medical histories, diagnostic reports, treatment records, and other relevant clinical documentation.
- Identify missing, incomplete, or inconsistent information in patient records.
2. Clinical Documentation & Data Validation
- Verify the accuracy and completeness of documented diagnoses, treatments, procedures, and clinical findings.
- Validate patient information against supporting medical documentation.
- Identify documentation discrepancies and recommend appropriate corrective actions.
3. Medical Coding Validation
- Review diagnosis and procedure coding for accuracy and consistency with clinical documentation.
- Cross-check applicable ICD-10, CPT, and HCPCS codes.
- Identify coding discrepancies and coordinate with medical coding teams for clarification.
4. Compliance & Quality Assurance
- Ensure medical records comply with applicable healthcare regulations, documentation standards, and institutional guidelines.
- Maintain adherence to HIPAA requirements and patient confidentiality protocols.
- Support documentation quality improvement and compliance monitoring.
5. Clinical Coordination
- Collaborate with physicians, nurses, medical coders, and other healthcare professionals to clarify documentation discrepancies.
- Communicate review findings clearly and professionally.
- Support timely resolution of incomplete or inconsistent clinical records.
6. Audit Support & Reporting
- Assist with internal and external medical record audits.
- Prepare accurate chart review reports highlighting identified discrepancies and corrective actions.
- Maintain organized records of completed reviews, findings, and follow-up actions.
Educational Qualifications
- Bachelor's degree in Life Sciences, Allied Health Sciences, or an equivalent relevant discipline.
Required Skills & Competencies
- Strong knowledge of medical terminology, human anatomy, and physiology.
- Ability to interpret clinical notes, diagnostic information, and medical records accurately.
- Understanding of medical documentation standards and healthcare compliance requirements.
- Knowledge of ICD-10, CPT, and HCPCS coding systems.
- Familiarity with Electronic Health Record (EHR) systems and medical coding applications.
- Proficiency in Microsoft Office applications.
- Solid analytical skills and attention to detail.
- Excellent written and verbal communication skills.
- Ability to maintain patient confidentiality and adhere to HIPAA requirements.
- Strong documentation, reporting, and record-management skills.
Ideal CandidateWe are looking for individuals who demonstrate strong medical knowledge, analytical thinking, accuracy, and a commitment to maintaining high standards of clinical documentation and healthcare compliance.
- Candidates should be comfortable reviewing detailed medical records, identifying inconsistencies, and working collaboratively to support documentation accuracy and quality assurance.
📌 Clinical Reviewer (Bengaluru)
🏢 Gravita Oasis Review Solutions
📍 Bengaluru