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

DPS Group Global

Process Engineer Job at DPS Group Global

 ...Our Cary, NC office is looking to add a Process Engineer I. This role is an entry level role for recent Chemical Engineering graduates. This role will contribute to the creation of design documents to support the Design Deliverables Matrix. Common work products will include... 

YASH Technologies

Senior SAP EWM Consultant Job at YASH Technologies

 ...Hi We are looking for a Senior SAP EWM AMS Consultant (Onsite Chicago, USA) Need to work from Client location - 3 days a week Job Summary: We are seeking a seasoned Senior SAP Extended Warehouse Management (EWM) AMS consultant with 1520 years of overall SAP... 

James White Construction, LLC

Office Support Administrator Job at James White Construction, LLC

 .../ transport Must be able to lift 15 pounds at times Employee Benefits Health Insurance - 100% Employee Only insurance paid for by JWC Dental / Vision / Short Term Disability / Life Insurance - paid by employee Long Term Disability - paid for by JWC... 

Pickleman's Gourmet Cafe

Night Delivery Driver Job at Pickleman's Gourmet Cafe

 ...creating profound and unique flavor profiles people love. Our delivery and catering services allow us to serve large groups, cater events and...  ...customers with superior service. Main Responsibilities of a Driver: Deliver customer orders in a safe, courteous, and timely... 

System One

Nuclear Digital I&C IV&V Engineer Job at System One

 ...Job Title: Nuclear Digital I&C IV&V Engineer Type: Contract Contractor Work Model: Remote(with potential travel requirements) As a Nuclear Digital I&C Independent Verification and Validation (IV&V) Engineer, you will play a crucial role in overseeing and maintaining...