Medical Data Reviewer

Responsibilities:

• Review and Validate AI generated clinical summary of Clients Demographics, Medical History, Test Results and Treatment Plans as per the medical and compliance standards

• Refine the clinical context to ensure that AI-generated information aligns with patient data and treatment notes.

• Review & Validate all Consult Notes, Diagnostic Reports, Laboratory Reports & any other documents uploaded by Client.

• Should be able to read & apply all information found in consult notes like Chief Complaint, Diagnosis, Past History, Treatment plan, Vitals, Medication, investigations, diagnostics test, diet plan, lifestyle advice.

• Should be able to read & interpret handwritten/printed consultation notes/ prescription or any other documents uploaded by Client.

• Adequate knowledge of clinical terminologies, tests, codes etc.

• Provide timely training/orientation on various clinical terminologies to other departmental staff.

• Maintain consistency in clinical terminologies (ICD-10, CPT, SNOMED, LOINC) within AI-generated summaries.

• Work collaboratively with Records Management to understand the work flows ensuring holistic data of the client is incorporated

• Participate in testing and training AI models by annotating data and reviewing algorithm-generated outputs of the Medical Summary.

• Proof read and rectify errors of all documents uploaded from different sources

• Evaluate, check & update missing data from the uploaded documents for further processing

• Perform document quality checks adhering to confidentiality policies at all times

• Provide feedback to Associate Manager - Clinical AI Summary on model accuracy, potential risks, and areas for improvement on the output

• Log all work in the database tracking system.

• Interact and work with the Team Leader regarding problem-solving and understanding the process.

• Prioritize workloads to ensure expedited cases are processed within defined timelines

• Follow SOPs and maintain departmental KRAs & KPIs along with service standards

• Maintain accurate data for MIS, records and document client service actions and discussions

• Execute any other tasks assigned by the Manager.

Qualifications:

• Graduate in MBBS/ BAMS/BDM

• Knowledge of SnoMed/LOINC/ICD. Certification(Good to have)

• Should be computer literate and have good organizational skills

• Overall 3 to 5 years of experience out of which 1 to 3 must be as a Medical / Clinical Data Reviewer Executive in Hospital/Healthcare Organization, Records Management, KPO/BPOs

• Minimum 1 years of experience in hospital, clinic managing Medical Records or Document Management System

• Proficiency in English & Hindi

• Awareness of healthcare industry’s latest technology trends and applications in Medical Records / Clinical Data and Document Management