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

Clarendale at Bellevue Place

Director of Health Services Job at Clarendale at Bellevue Place

 ...living by investing in you. Dont just do a job. Be part of an extraordinary life! Clarendale at Bellevue Place is recruiting for Director of Health Services (Director of Nursing/DON). This role functions as the Director of all nursing functions within the community... 

FOX Rehabilitation

Physical Therapist Job at FOX Rehabilitation

 ...Make an Impact on Our Geriatric Community Our team is growing, and were looking for a top-caliber Physical Therapists to join us in Raynham, Massachusetts. Why FOX Rehabilitation Pioneer of Geriatric House Calls to older adults in their communities. Provide... 

Legacy Restoration

Canvasser Job at Legacy Restoration

 ...an OPS Representative, you'll be responsible for generating leads and setting appointments for free no obligation inspections by canvassing neighborhoods door-to-door. You'll be the first point of contact for potential customers, and your excellent communication skills... 

Career Group

Personal Assistant Job at Career Group

 ...Personal Assistant to the Chairman Family Office Location: Beverly Hills, CA will work between the principals home and the office. Compensation : up to 150k. A prestigious Beverly Hills based family office with a strong portfolio in real estate investments... 

Altar'd State

Help Desk Analyst Job at Altar'd State

Who Are We? Altar'd State is a rapidly growing women's fashion brand with more than 120 boutiques in 38 states. We offer a place of respite and a distinctive shopping experience with the latest fashion finds, the most sought-after accessories, as well as charming home ...