Medical Qa Auditor
Year Chandigarh, Chandigarh, India
Job Description
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Position Title: Medical AuditorJob Summary: We are looking for a diligent and experienced Medical Auditor to join our team and ensure the accuracy and compliance of our QA process. The Medical Auditor will be responsible for auditing and reviewing the Medical records for a home health agency to ensure accuracy, compliance with regulations, and adherence to Health regulatory standards. The ideal candidate should possess thorough knowledge on Acute and Chronic Diseases (sign &symptom, etiology, prognosis, and treatment plan), and great analytical skills to find out inconsistencies in medical records provided by Hospitals, clinics, and medical professionals to ensure billing and compliance.Key Responsibilities:
- Conduct regular audits of medical records to ensure accuracy and compliance with health care standards, guidelines, and regulations.
- Review Patient's Medical Records, to identify and correct errors in documentation, ensuring that all information is correct and being supported by the info provided by authorized Medical professional
- Ensure compliance with Federal, state, and local regulations, including HIPAA, Medicare, and Medicaid guidelines.
- Provide feedback and training to health care providers and QA team to improve accuracy and compliance in their documentation.
- Maintain accurate records of audits, findings, and corrective actions. Prepare reports on audit outcomes and trends.
- Work closely with the coding team, management, and other stakeholders to address coding issues and implement improvements.
- Stay updated on the latest guidelines, industry standards, and regulatory changes.
- Recommend and implement process improvements as needed.
- Bachelors degree in health information management, healthcare administration, or a related field. BHMS, BAMS, BPT, MPT preferred.
- 2-5 years of experience in medical QA/auditing role.
- Strong understanding of medical terminology, human anatomy, diseases, diagnostic methods, and related concepts.
- Excellent analytical skills, attention to detail, and the ability to identify and correct errors.
- Proficient in using coding software, electronic health records (EHR), and Microsoft Office Suite.
- Certifications in auditing are a plus.
- Day shift
- Chandigarh, Chandigarh: Reliably commute or planning to relocate before starting work (Preferred)
- total work: 2 years (Preferred)
- Chandigarh, Chandigarh (Preferred)
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Job Detail
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Job IdJD3341269
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IndustryNot mentioned
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Total Positions1
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Job Type:Full Time
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Salary:Not mentioned
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Employment StatusPermanent
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Job LocationChandigarh, Chandigarh, India
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EducationNot mentioned
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ExperienceYear