Job Opportunity
We are seeking a clinical analyst to join our team in areas such as Virtual Operational Review (VOR) and Clinical Denial Analysis (CDA). This role is ideal for fresh graduates in Medicine or Life Sciences as well as experienced physicians, especially those with exposure to RCM or healthcare BPO operations.
You will play a critical role in reviewing clinical documentation and identifying inconsistencies or areas of improvement that impact claims or patient care records.
Key Responsibilities
- Review clinical documents and submissions made by healthcare professionals
- Ensure completeness, clarity, and compliance with medical documentation standards
Clinical Service – VOR (Virtual Operational Review)
Identify and address gaps in clinical documentationCollaborate with physicians or other stakeholders to resolve discrepanciesClinical Denial Analyst (CDA)
Analyze medical charts and documentation to identify errors, gaps, or inconsistenciesFlag documentation issues that may lead to insurance claim denialsRequirements
Strong English communication skills – verbal and writtenBasic understanding of clinical terms, medical charts, and documentation standardsAnalytical thinking and attention to detailWillingness to work in a process-driven, fast-paced environmentPreferred Qualifications
Freshers with Bachelor's in Science or MedicineExperienced physiciansProfessionals with experience in Revenue Cycle Management (RCM)Candidates with prior Healthcare BPO experience