Are you looking for a Quality Associate role in Ahmedabad? Advantmed, a leading company in the healthcare analytics and KPO industry, is hiring for a Quality Associate position. This is a full-time, permanent role with opportunities to grow in the healthcare operations domain. Read on to learn more about the job details, responsibilities, and how to apply.
Key Responsibilities of a Quality Associate
As a Quality Associate at Advantmed, you will play a crucial role in ensuring the accuracy and compliance of medical records. Here’s a breakdown of your responsibilities:
1. Medical Record Review
- Thoroughly review medical records, including patient charts, physician notes, and diagnostic reports.
- Ensure all required documentation is present, accurate, and complies with healthcare standards.
- Verify that diagnoses, procedures, and treatments are documented correctly.
2. Coding Compliance and Accuracy
- Verify medical records are coded correctly using ICD-10, CPT, and HCPCS classification systems.
- Identify and resolve discrepancies in coding or documentation to ensure compliance with payer regulations.
- Collaborate with medical coders and physicians to address documentation issues.
3. Audit and Quality Assurance
- Conduct audits to ensure coding accuracy and compliance with billing standards.
- Identify areas for improvement in medical record documentation and suggest corrective actions.
- Perform internal audits to assess compliance with regulatory standards.
4. Training and Guidance
- Provide guidance to physicians and coders to improve documentation accuracy.
- Assist in training staff on documentation best practices and coding standards.
- Support continuous education programs to keep the team updated on healthcare regulations.
5. Documentation and Reporting
- Document findings, discrepancies, and corrective actions during medical record reviews.
- Prepare detailed reports on audit findings and performance trends.
- Maintain confidentiality and adhere to privacy standards when handling patient data.
6. Collaboration and Communication
- Communicate effectively with healthcare providers and coders to clarify documentation ambiguities.
- Collaborate with other departments to align medical record review processes with organizational goals.
- Resolve coding or documentation issues efficiently.
7. Process Improvement
- Continuously evaluate and improve the medical record review process.
- Identify trends in documentation or coding issues and propose solutions.
- Implement best practices to enhance workflow efficiency.
Skills and Qualifications
- 0-2 years of experience in healthcare operations, medical coding, or quality assurance.
- Knowledge of ICD-10, CPT, and HCPCS coding systems.
- Strong attention to detail and ability to ensure accuracy in documentation.
- Excellent communication and collaboration skills.
- Familiarity with healthcare regulations and payer requirements.
Why Join Advantmed?
- Work in a leading analytics and KPO company with a strong reputation.
- Opportunity to grow in the healthcare operations domain.
- Be part of a team that ensures quality and compliance in healthcare documentation.
How to Apply
If you’re interested in this Quality Associate role, here’s how you can apply:
- Interview Date: 29 February – 1st March, 9.30 AM – 5.30 PM
- Venue: 103, Advantmed, Pinnacle Business Park, Corporate Road, Prahladnagar, Ahmedabad 380015
- Contact: Hitesh Thakkat (7874427890)
Don’t miss this opportunity to join a reputed organization like Advantmed. Apply now and take the next step in your career!
