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

Hand & Stone Massage and Facial Spa

Spa Director Job at Hand & Stone Massage and Facial Spa

 ...Flexible schedule Opportunity for advancement Paid time off Training & development We're seeking an experienced Spa Director to oversee Spa Operations at Hand and Stone Massage & Facial Spa. We are looking for a dynamic leader with the ability to motivate... 

Snaphunt

Field Geologist Job at Snaphunt

 ...other engineering activities as required. Ideal Profile: Qualifications BS or Associate degree in Civil Engineering, Geology, and Geophysics preferred. High school diploma required. Willing to travel and work in various site conditions and project locations... 

Driscoll Children's Hospital

Certified Anesthesiologist Assistant Job at Driscoll Children's Hospital

The anesthesiology department at Driscoll Childrens Hospital is recruiting four (4) full-time Certified Anesthesiologist Assistants (CAAs) to start immediately at our Corpus Christi campus. This is an opportunity to work in a free standing Childrens Hospital that serves...

Luxor Healthcare

Licensed Practical Nurse (LPN) Job at Luxor Healthcare

 ...LPN - Licensed Practical Nurse Country Club Rehab & Healthcare Center Love where you work! New Wages! New Grads Welcome! SAME DAY PAY! Country Club Rehab & Healthcare Center...  ..., and a great work environment close to home? Country Club is the place you want to... 

U.S. Tsubaki Power Transmission, LLC

Tool Room Machinist (SDKY) Job at U.S. Tsubaki Power Transmission, LLC

 ...drawings to visualize final form of die, part or tool, and plans sequence of operations to achieve desired end result Works from prints, sketches, verbal or written instructions, or from existing part to be copied or fitted Lifts, positions, and secures parts to...