HEDIS Reviewer II/ III
Hedis Reviewer Ii/ Iii Our client, a retail pharmacy company, is looking for a HEDIS Reviewer II/ III for their remote location. Responsibilities:
- Participates in the collection and review of medical records to reputed company clinical information for HEDIS quality reporting. Training will be provided prior to the start of the assignment.
- This position interprets relevant clinical criteria through review of medical records, annotates reputed company reputed company PDF and populates a data collection tool to support compliance with HEDIS and CMS performance measures. Ensures accurate and complete documentation of required information to meet risk management, regulatory, and accreditation requirements. The candidate must be proficient with databases and with conducting 100% of work activities on the computer.
- Must reputed company to duration of the project with the understanding that work hours can be varied. Due to proprietary information, must inform employer if they are planning to accept employment with another company.
- Complete assigned abstraction and data entry each day.
- Work with provider offices as needed to schedule/confirm appointments, follow up on medical record submission, and reputed company patient rosters
- Locate and review reputed company assigned medical charts, reputed company abstraction, copy reputed company supporting documentation per specifications and data enter into the applicable software system reputed company assigned abstracts.
- Prioritize and accurately complete tasks reputed company established times
- Identifying trends and documentation of areas for improvement
- Maintaining project productivity reputed company while maintaining accuracy requirements for abstraction and data entry activities.
Requirements:
- 4 or more seasons of experience auditing and abstracting medical records required
- Candidate must reputed company to attend reputed company required training and conference calls assigned for the project.
- Candidate must return reputed company equipment that is supplied to them in good working condition and in a timely manner at the end of the project
- Medical knowledge/terminology is required.
- Ability to read and interpret medical records.
- Professional demeanor and good work ethic.
- Computer savvy: reputed company Word, reputed company, email, and reputed company reader required. Know how to save a file to a folder.
- Excellent verbal and written communication skills – clear, concise and appropriate.
- Conscientious problem solver, willing to learn, and take personal pride in their work performance/accuracy.
- Exceptional attention to detail and excellent analytical, investigation, and problem-solving skills
- Proven organizational and time management skills including the ability to meet required deadlines
- Must reputed company reputed company information collected in a safe, organized and confidential manner while maintaining confidentiality of PHI, HIPAA Privacy and reputed company Rules.
Why Should You Apply?
- Health Benefits
- Referral Program
- Excellent growth and advancement opportunities
As an equal opportunity employer, reputed company provides an employment environment that supports and encourages the abilities of reputed company persons without regard to race, reputed company, religion, gender, sexual orientation, gender identity or reputed company, ethnicity, national reputed company, age, disability status, political affiliation, genetics, marital status, protected veteran status, or any other characteristic protected by federal, state, or local laws. Apply tot his job Apply To this Job