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

Neptune Construction Group LLC

Social Media Content Creator Job at Neptune Construction Group LLC

 ...basic analytics. Support the team with simple marketing tasks, event posts, and community updates. Help maintain consistency in brand voice, look, and messaging. Provide weekly updates on activity, growth, and opportunities. Requirements Familiarity... 

Valley Children's Healthcare

Medical Coder Job at Valley Children's Healthcare

 ...responsible for accurately assigning ICD-9-CM/ICD-10-CM diagnosis and procedure codes and CPT-4 procedure codes to inpatient and outpatient medical records using the 3M encoding software. The role includes assigning HCFA-DRG and APR-DRG groupers for inpatient records and... 

PAIGE

Part-Time Keyholder (Plano) Job at PAIGE

The key holder is a leadership position that is responsible for ensuring that customer service and store standards meet company expectations. All key holders will perform opening and closing managerial procedures and will serve as the manager on duty in lieu of a manager...

Guthrie

Supervisor, Nursing - Nursing Administration - Part Time Job at Guthrie

 ...may be assigned as necessary in the performance of this position. About Us Joining the Guthrie team allows you to become a part of a tradition of excellence in health care. In all areas and at all levels of Guthrie, youll find staff members who have committed... 

Pronix Inc

SAP Co Consultant Job at Pronix Inc

 ...Hello, My Name is Praveen Kumar from Pronix Inc !! Role: SAP Controlling (CO) Consultant Location: Somerset, NJ (On Site) Type: Fulltime / Direct Hire VISA Independent Candidates only Job Description:- Minimum Qualifications ~ Bachelors degree...