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

Insight Global

Alarm Dispatcher Job at Insight Global

 ...A retail employer in the Cincinnati area is seeking an Alarm Dispatcher / Alarm Center Specialist to provide critical monitoring and support for security systems across retail, office, and distribution facilities. This role ensures timely and accurate handling of... 

Stoneridge at Centerra

Housekeeper/Laundry Aide Job at Stoneridge at Centerra

 ...Employee Assistance Program Our community is looking for a Housekeeper to join our team. Housekeeper Responsibilities:...  ...Responsible for collecting, cleaning and redistributing the community laundry. Responsible for maintaining the commercial laundry in a... 

Fit2Run-The Runner's Superstore

Online/Digital Community Specialist Job at Fit2Run-The Runner's Superstore

 ...athletes of all fitness levels since 2006. With 45 retail locations across Florida, Puerto Rico, and Georgia, as well as an expansive online presence at we focus on providing an exceptional customer experience and promoting a healthy lifestyle. Our knowledgeable Fit... 

We Are BMF

Brand Ambassador Supervisor Job at We Are BMF

 ...The Brand Ambassador Supervisor is responsible for leading, coordinating, and motivating a team of brand ambassadors during onsite activations. You will ensure the team delivers outstanding customer experiences, embodies the clients brand values, and meets performance... 

Global Talent Partners Veterinary

Urgent Care Veterinarian Job at Global Talent Partners Veterinary

 ...Are you a motivated Urgent Care Veterinarian ready to step into a leadership role and shape your own state-of-the-art clinic, without any capital investment required? This is a rare chance for an experienced DVM to take control of how urgent care is delivered, maintain...