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

OdomRD Dietitian Consultants

Regional Registered Dietitian Consultant (hybrid/50% remote) Job at OdomRD Dietitian Consultants

 ...OdomRD Dietitian Consultantsis growing and were excited to welcome a Regional Registered...  ...facilitieswithin the Abilene, Texas region Travel locally between facility locations (...  ...per week ~ Hybrid work onsite + remote charting flexibility ~ MondayFriday scheduling... 

adidas

Screen Print Specialist Job at adidas

 ...setup and teardown process. While unloading during the run, the print specialist will be responsible for ensuring quality standards are...  ...Qualifications: High school Diploma or equivalent Previous Screen Print Press operating experience REQUIRED adidas celebrates... 

Ashley | The Wellsville Group

Delivery Driver Job at Ashley | The Wellsville Group

 ...We're immediately hiring Delivery Driver in our Horseheads, NY Warehouse! In this role, you'll help transport products from the distribution center to various showroom locations. Responsibilities include handling furniture, loading and unloading items, andover time... 

The Nagler Group

Medical Technician Job at The Nagler Group

 ...itle: Medical Front Desk & Technician Schedule: Full-Time, MondayFriday, 9:00 AM5:00 PM Compensation: $56,000$58,000 Role Summary: This hybrid position combines front desk responsibilities with hands-on support as a Technician. Full training will be provided... 

Sanford Health

LPN - Licensed Practical Nurse - PRN Job at Sanford Health

 ...Summary The Licensed Practical Nurse (LPN) provides professional nursing care for...  ...in establishing and maintaining effective working relationships with resident, health care providers...  ...time off package to maintain a healthy home-work balance. For more information about...