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

RUBBIT

Creative Video Editor Job at RUBBIT

Performance Creative Video Editor (Los Angeles, CA - Hybrid + In-Person) | Rubbit Ideate. Create. Execute. Grow. Rubbit is a venture-backed DTC automotive brand on a mission to make car care easier, more accessible, and more fun. We have huge growth ambitions and...

WorkSource Oregon

Armed Security Guard Job at WorkSource Oregon

 ...Worksource Oregon is partnering with a Portland, OR employer who provides both armed and un-armed uniformed guards to riverside industries. The employer is currently hiring multiple certified Armed Security Guards. JOB DUTIES - Provide Access Control Points to several... 

United Stars Holdings, Inc.

CNC Supervisor Job at United Stars Holdings, Inc.

A CNC Supervisor oversees the daily operations of the CNC department, ensuring the safe, efficient, and timely production of high-quality components. This role is a blend of hands-on technical expertise and leadership, with primary responsibility for developing, optimizing...

Synechron

iOS Developer - Mobile Banking Applications Job at Synechron

 ...design, develop, and maintain secure, high-performance mobile banking applications . The role focuses on delivering scalable, intuitive...  ...) groups. ~ Cutting edge projects at the worlds leading tier-one banks, financial institutions and insurance firms. ~ A flat... 

Tryfacta

Registered Nurse Job at Tryfacta

 ...the opportunity to flourish as a mental health practitioner. You will also coach and mentor...  ...Psychiatric Technicians as a charge nurse in a unit or cottage. Functions as a charge...  ...year of experience working as an RN in a traveling capacity. RN MO license COVID-19 Vaccination...