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

NX Direct

Junior Account Manager Job at NX Direct

 ...solid business relationships on behalf of some of the most well-respected brands in technology throughout the world. They link a customer's needs with the solutions and products available to them, providing a consultative sales approach that focuses on value and problem... 

FORTIS Resource Partners

Human Resources Admin Job at FORTIS Resource Partners

 ...Our client is seeking a dynamic Human Resources Admin for a 3-month contract, part-time, 8-16 hours per week, at their Santa Fe Springs location. The working environment is fast-paced, high-volume, and dynamic. Position Responsibilities may include, but are not limited... 

KYOCERA AVX Components Corporation

Control System Engineer Job at KYOCERA AVX Components Corporation

 ...Position Summary: The Equipment Controls System Engineer is assigned to improve equipment controls systems and to integrate equipment controls systems with higher level production and quality control software systems. Responsible to support the Kyocera AVX initiative... 

System One

Mechanical BIM Coordinator Job at System One

Position: Mechanical BIM/VDC Specialist Location: Phoenix, AZ (85029) Pay: $70k - $80k Summary: Piping VDC/BIM professional specializing in coordinated modeling, shop drawings, and constructability support to improve project accuracy, efficiency, and field execution...

Westminster

Maintenance Manager Job at Westminster

 ...lovely grounds featuring mature shade trees, playground, and picnic center complete with gazebo. Join Our Team as a Property Maintenance Manager Lead the Way in Property Maintenance! Are you ready to make a real impact and showcase your leadership skills in property...