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

Insight Global

Inventory Technician Job at Insight Global

 ...the day in the hospital during business hours and doing manual, data entry tasks. This is a GREAT opportunity to get into the field,...  ...: Indianapolis, IN Interview Process: 1 Phone Screen + 1 Virtual Interview (Making offers by 11/14/2025) Contract Duration:... 

NSABP Foundation Inc.

Clinical Research Associate - Level 3 Job at NSABP Foundation Inc.

 ...The NSABP Foundation has an opening for Clinical Research Associate - Level 3. This is a hybrid position located in Pittsburgh, PA requiring...  ..., site selection and Principal Investigator review. Assists with site activation requirements including ICF review, site access... 

Cinq à Sept

Keyholder (Fashion Island) Job at Cinq à Sept

 ...cinq sept sankahset skeset n : The time between late afternoon and early evening...  ...brings the intriguing tension between day and night to a new advanced contemporary collection....  ...about people and fashion to join our team part time. This is a leadership position and... 

cCARE - California Cancer Associates for Research & Excellen...

Medical Oncologist Job at cCARE - California Cancer Associates for Research & Excellen...

 ...The Medical Oncologist/Hematologist will be responsible for managing the care and treatment of cancer patients. The Medical Oncologist/Hematologist will work closely with center team members to implement treatment plans and monitor progress. Major Responsibilities:... 

Veranova

Environmental Specialist Job at Veranova

 ...At Veranova, we are committed to EHS excellence and ensuring a safe, healthy, and regulatory-compliant work environment. The Environmental Specialist is responsible for ensuring the sites compliance with environmental laws, regulations, and best practices. The role...