Job Description
About the job
Overview:
Our client, a provider of Health, Dental, Vision, Medicaid and Medicare Healthcare service plans in the state of California with 4.7 million members and $22.9 billion of annual revenues, seeks an accomplished HEDIS Medical Record Reviewer.
*** Candidate must be authorized to work in USA without requiring sponsorship ***
*** Candidate must be located in CA***
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- Job Title: HEDIS Medical Record Reviewer.
- Location: Remote (Long Beach, CA)
- Duration: 2+ months
IMPORTANT:
- Not looking for Zero HEDIS abstraction experience.
- Work Schedule: start between 8:30am – 4:30am (must be approved by Manager). Will work 8 consecutive hours from start time (not including breaks).
- 40 hours per week work.
- Candidate MUST have high-speed wired internet connection. Wi-Fi / Wireless connections are not allowed.
- Candidate MUST have a reliable home-office environment.
Description:
- This position will be in support of the HEDIS Medical Record Review (MRR) cycle.
- The individuals will work directly with HEDIS MRR Program Manager and other medical record reviewers to review medical record.
- Primary responsibility will be to perform medical record review & enter findings into abstraction tool (Inovalon QSHR) and to over read.
- Identify chase opportunities from the medical record.
- Coordinate with Program Manager, and administrative staff to manage caseload for teams.
- Communicate with team members to effectively manage project assignment.
Qualifications:
- Previous HEDIS Abstraction experience.
- Ability to maintain a high volume of abstractions.
- Must be proficient in computers and conduct most/all work activities on computer only.
- Required Testing: Post Interview Test – tests HEDIS measure proficiency.
- Software Skills Required: Microsoft Outlook, Excel, and Adobe experience.
Nice to haves:
- Previous overread experience.
- Ability to read and navigate clinical medical records in looking for specifically sought information.
Job Tags
Home office,