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Job Details:
Position Name : Medical Coder, QA
Location: Pune, Maharashtra
Job ID : f1e437f305ef2cc3
Description : Responsibilities:
Responsible for call/data quality monitoring.
Provide feedback to agents using prescribed feedback model.
Mentoring and coaching agents on process level issues.
Monitor adherence to compliance procedures and processes.
Responsible for reporting program level quality score to the process owners.
Responsible for conducting calibration and performance review call in terms of quality with the internal team. (Initially will be assisting the senior quality analyst, training and guidance will be provided to be able to lead such meetings in future).
Conduct refresher training on the basis of the errors identified.
Communicate process updates by conducting a session as and when required.
Maintaining update log and sharing it with the team on a regular basis.
Perform brainstorming and root cause analysis to analyze data and provide tips or suggestions to operations/management team.
Identify and highlight potential risk areas and recommend preventive action..
ATTRIBUTES AND BEHAVIORS
Develops and maintains positive working relationships with others.
Shares ideas and information.
Assists colleagues unprompted.
Takes pride in the achievement of team objectives.
Has credibility with peers and senior managers.
Self-motivated – driven to achieve results.
Works with a sense of urgency.
High customer service ethic – is passionate about meeting customer expectations and improving service levels.
Keeps pace with change – acquires knowledge/skills as the business evolves.
Handles confidential information with sensitivity.
Exhibits behaviors consistent with Cotiviti Values:
RELEVANT EXPERIENCE & EDUCATIONAL REQUIREMENTS
Clearance of all major exams (SSC, HSC, qualifying degree).
Graduation – Required.
Experience in US healthcare.
2 Years of experience working in a similar setup
Computer proficiency in Microsoft Office (Word, Excel, Outlook); Access preferred
SKILLS & COMPETENCIES
Excellent communication skills (written and verbal)
Excel proficiency.
Ability to work well under pressure and meet deadline.
Ability to work on multiple projects simultaneously.
JOB DEMANDS
Occasional requirement to travel (primarily related to training and Company meetings) within India/US
Ability to work seated at a computer for long periods of time
Candidate should be ready to work in different shifts, including night shift
KEY CONSTITUENTS
No Direct Reports
Internal –
Quality Manager and Team Leader.
Operations Manager and Team Leader.
Production Resources.
External – Clients and Onshore Business Partners
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