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

Stormont Vail Health

Hospitalist Job at Stormont Vail Health

 ...Join a Premier Health System as a Hospitalist in Junction City, Kansas Stormont Vail Health, a physician-led, regional health system recognized for excellence and innovation, is seeking a dedicated Hospitalist Physician to join our team at the Flint Hills Campus... 

One World Global Services

Japanese:Interpreter Kōbe Job at One World Global Services

 ...English proficiency~ Steady wired internet connection ~ USB Wired headset ~ Windows 10or MacOS WHAT WE OFFER YOU: Fully remote position with a clear schedule Full-time or part-time position Immediate availability to start working after onboarding... 

Softworld, a Kelly Company

Workday Administrator Job at Softworld, a Kelly Company

 ...Workday Administrator Direct Hire Brooklyn, New York, 11234, onsite daily 3rd party and subcontract staffing agencies are not...  ...modules this is your chance to manage the entire Workday ecosystem(HCM, Payroll, Benefits, Absence, Learning, and more) and make a... 

OneOncology

Hematologist Oncologist Job at OneOncology

 ...Hematologist Oncologist Opportunity SunState Medical Specialists Boca Raton, FL Job Details: Occupation: Physician Specialty: Hematology/Oncology Clinic Location: Boca Raton, FL Employment: Full-Time Opportunity: Private Practice, Outpatient... 

Taurus Industrial Group, LLC

Shop Foreman Job at Taurus Industrial Group, LLC

Key Responsibilities: Team Supervision: Supervise, schedule, and coordinate the activities of craftsmen and technicians. Provide training, guidance, and performance evaluations. Ensure all staff adhere to safety policies and procedures. Operations Management...