Medical Officer – Inpatient Precertification is responsible for managing the Inpatient Precertification cases while ensuring that departmental goals, timeline of activities, and compliance measures are met.

What you do

• Precertification team is functional on 24/7 basis. Therefore the Medical Officer will be working on flexible shift basis as per the schedule provided by the Team Leader
• Adjudicates Cases at IP precertification level, authorizes decision within the stipulated turnaround time & with the highest quality standards in view with the policy terms and conditions.
• Performing complete file review with regards to the multidisciplinary notes, TPR charts, physician order’s notes, lab reports, radiology reports, drug chart sheets, consultation notes, nursing notes, progress notes, etc.
• Requesting any medical documentation or finding any missing document which is essential in decision making.
• Performing review of DRG...