Medical Record Reviewer Job at Amerit Consulting, Long Beach, CA

dCttd3NNOXJzMDVjMTNyMmlUQ25EZTNvNFE9PQ==
  • Amerit Consulting
  • Long Beach, CA

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***

******************************************************************

  • 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

Remote job, Home office,

Similar Jobs

TOD'S

Stock Associate Job at TOD'S

TOD'S a premier luxury Italian brand is seeking dynamic, experienced, customer service driven, experienced Stock Associate for our Bal Harbour location. The Stock Associate performs a number of fundamentally important functions: warehouse management, inventory control...

Maxion Corp

Data Entry Clerk - Work From Home - Remote Job at Maxion Corp

Join Our Team as a Work-From-Home Data Entry Research Panelist! Are you ready to earn money from the comfort of your own home? This exciting opportunity is perfect for anyone with a variety of skills and backgrounds whether youve been an administrative...

HHS, LLC

Direcotor of Housekeeping Job at HHS, LLC

 ...Your leadership can change lives. Were hiring a leader to build a high-performing hospital housekeeping team a team that supports healing by creating a clean, safe, and welcoming environment. If you love developing people, driving results, and making a difference... 

Höweler+Yoon Architecture, LLP

Junior Designer Job at Höweler+Yoon Architecture, LLP

 ...innovative. We are looking for a talented, motivated, and responsible Junior Designer(s) with 2+ years of experience for our office in...  ...+ years of qualified experience Experience in preparing and developing drawing sets Excellent design and graphic skills, with the... 

Agilysis

C++ Windows Embedded Software Engineer Job at Agilysis

Title: Senior C++ Windows Embedded Software Engineer Contract Duration: 1+ year Location: Dallas, TX Candidates local to Dallas, TX Open to Corp to Corp / w2. Note: Need someone with experience with developing application for a Windows platform using our...