Medical Abstractor & Auditor

About Heaps

Heaps is one of the fastest growing health tech start-ups in India today. With more than 5 million patient interactions till date, Heaps is revolutionising how insurers, doctors and patients experience health care. We are building an AI driven end-to-end care management platform which coordinates, tracks and monitors the health of the patient empowering them with the right information to take right decisions at the right time about their health.

Key Responsibilities:

  • Review the Medical Coding Console:
  • Regularly review the Medical Coding Console numbers for assigned hospitals or insurance groups to ensure timely processing of the Discharge Summaries
  • Review Incomplete DS Dashboard:
  • Push discharge summaries from the Incomplete DS dashboard as required.
  • Quality Assurance:
  • Maintain a quality score of 98% or higher by ensuring discharge summaries are accurately mapped to their respective medical conditions and specialities.
  • Team Coordination:
  • Collaborate with other medical abstractors to ensure daily inventory is completed and no items remain pending.
  • Identifying Wrong Discharge Summaries:
  • Notify the Program Manager/Client Account Lead about any incorrect discharge summaries requiring deletion and send the necessary email for resolution.
  • Mapping for New Clients:
  • Assist in mapping discharge summaries for new clients during the implementation phase.
The primary duties as a Quality Auditor include: -
  • Performing audit functions for the members of the care management teams with the objective to ensure all the regulatory and quality standards are met.
  • Listen to the health care coach’s call recording.
  • Ensure that the health care coaches have followed the process workflow, asked all relevant symptoms and questions to the patients.
  • Have an eye for detail for any deviation from the expected call flow.
  • Process Improvement through continuous feedback and coaching.
  • Review complete call quality.
  • Maintaining tracking tools to log audit results including areas of non-compliance and identifying areas of improvement.
  • Training the care management teams on all the gaps as identified using quality assessments.
  • Evaluate and analyze aggregate quality performance data.
Skills and Qualifications:
  • Strong attention to detail and organizational skills.
  • Proficiency in medical terminology and understanding of discharge summaries.
  • Ability to meet quality benchmarks and adhere to deadlines.
  • Effective communication and coordination skills.
  • Familiarity/Experience working on Patient Care Co-ordination digital platforms .
Qualification: Master's in Science Language: English & Telugu (Mandatory). Hindi (Conversational). People with bi-lingual proficiency are also welcome.

What We Offer:

  • A collaborative work environment.
  • Opportunities for professional growth and development
  • Health Insurance
Job Type: Full-time Pay: ₹240,000.00 - ₹300,000.00 per year

Benefits

  • Health insurance
  • Leave encashment
  • Paid time off
  • Provident Fund
  • Work from home
Ability to commute/relocate:
  • Hyderabad, Telangana: Reliably commute or planning to relocate before starting work (Preferred)
Education:
  • Master's (Preferred)
Experience:
  • Clinical Auditor: 2 years (Preferred)
  • Medical transcription: 2 years (Required)
  • Medical Abstractor: 2 years (Preferred)
Language:
  • Telugu (Required)
  • English (Required)
  • Hindi (Preferred)
Work Location: In person
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