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

Kaiser Permanente - Southern California Permanente Medical G...

Urgent Care Physician Job at Kaiser Permanente - Southern California Permanente Medical G...

 ...physician-led partnership organization with a patient-centered and evidence-based approach to high quality medicine, is actively seeking Urgent Care Physicians to join our clinics in Fontana California part of our San Bernardino County service area. Schedule: Full-Time... 

Dudek

Hydrogeologist Job at Dudek

 ...gaps in the conceptual model that impact model predictions. Minimum Qualifications Minimum 6 years of experience Hydrogeology, Geology, Hydrology, or similar field A masters degree in Hydrogeology, Geology, Hydrology, or similar field Familiarity with SGMA... 

Place. Staffing

3D Spacial / Exhibit Designer Job at Place. Staffing

 ...Experiential marketing/event agency (exhibits, trade shows, and experiences) is looking for a talented mid-level 3D Spacial / Exhibit Designer who can help design brand experiences across multiple environments in both temporary and permanent installations. This is... 

PrismHR

Construction Manager Job at PrismHR

 ...Construction Manager (CM) - OSP Fiber Build Leader Location: Saginaw, MI Compensation: $90,000 $105,000 annually The Role: Command Large-Scale FTTH Projects Are you a proven Outside Plant (OSP) Construction Manager ready to lead complex, large-scale... 

Ritchie Bros.

Senior Instructional Designer Job at Ritchie Bros.

The Learning and Training Development Lead; Instructional Design is responsible for creating all Sales Enablement related training material; Modules, lessons, coursework, program materials and much more. The role will require hybrid work out of either our Corporate Facility...