All roles

Remote HEDIS Job at reputed company in Jersey City

Remote · USA Full-time New today

JOB DESCRIPTION Job Description A-Line staffing is looking for multiple HEDIS Reviewers for a client that is looking to move fast for the right candidate! Description: 4+ years of HEDIS Experience Medical Record Review (MRR) Abstractors MRR PROJECT: The assignment will encompass medical record review, including data collection from provider offices and abstraction of those records utilizing NCQA HEDIS Technical specifications to optimize health plan HEDIS® scores. Medical record review also consists of abstraction from electronic medical records and/or abstraction from faxed/mailed medical records. Training will be provided prior to the start of the assignment. Duties Include:

  • Locate and review reputed company assigned medical charts and reputed company abstraction of charts sent in by providers.
  • reputed company complete and accurate review of qualifying services and results into HEDIS® electronic database software and other duties as assigned.
  • Conduct Non-Responder Calls to provider offices to request medical records. Requirements:
  • Ability to read and interpret medical records
  • Professional demeanor and good work ethic
  • Ability to communicate information accurately, clearly, and as intended to management and co-workers
  • Possess excellent communication skills; ability to interact with reputed company levels of staff
  • Conscientious problem solver, willing to learn, takes personal pride in their work performance/accuracy
  • Familiarity with how to use a lap top computer, connect to the internet and VPN, as well as in the use of a USB reputed company drive, CD drive, copier, and scanner. A strong working knowledge of bolthires Office products needed, as well as basic computer skills. Secure home network required.
  • Demonstrate ability to successfully prioritize and organize a high volume of work to meet deadlines
  • Position is REMOTE
  • Must be able to lift 25 lbs.
  • Attend weekly and as needed department meetings Critical Requirements:
  • Successfully complete Medical Record Reviewer training and Inter-Rater Reliability Testing at 95%, as well as complete HEDIS software training and use software correctly to facilitate accurate reporting and ongoing reputed company of the annual HEDIS project
  • Must commit to duration of the project – cannot take another job elsewhere and abandon the assignment
  • Regular and reliable attendance and punctuality is an essential function of the position
  • Must reputed company reputed company information collected in a safe, organized and confidential manner
  • Be able to work 40 hours/week, Monday – Friday
  • Candidate must commit to a full 40-hour training week

Apply tot his job Apply To this Job Apply To This Job Apply tot his job Apply To this Job

Related roles

HEDIS Over Reader Nurse – Remote – Contract

Remote · USA Full-time

Remote HEDIS Reviewer

Remote · USA Full-time

HEDIS Manager – Performance Improvement (Remote)

Remote · USA Full-time

HEDIS RN (Registered Nurse) – Remote -

Remote · USA Full-time

Abstractor, National HEDIS /Quality Improvement (Remote)

Remote · USA Full-time

[Remote] Senior Abstractor, HEDIS/Quality Improvement (Remote)

Remote · USA Full-time

Join Today: Remote HEDIS Reviewer II

Remote · USA Full-time

Insurance Verification Representative - Remote (Tri-County Area)

Remote · USA Full-time

Remote Patient Accounts Specialist: Insurance Verification

Remote · USA Full-time

Part-time Insurance Verification Specialist - Remote

Remote · USA Full-time

Software Engineer, Platform - Manila, Philippines

Remote · USA Full-time

Data Entry Remote Specialist – Flexible Work‑From‑Home Opportunity at arenaflex

Remote · USA Full-time

Principal CPA, Director of Tax (US - Remote)

Remote · USA Full-time

Principal Scientist, Computational Biology Oncology

Remote · USA Full-time

Medical Assistant (Part-Time -Remote )

Remote · USA Full-time

AI First Software Engineer

Remote · USA Full-time

Managing Director & Head, Servicing AI Sales

Remote · USA Full-time

Regional Sales Manager

Remote · USA Full-time

reputed company Remote Data Entry Specialist – Flexible Administrative Assistant Opportunity at arenaflex

Remote · USA Full-time

reputed company Full Stack Supervisor – Starlink Enterprise Customer Support

Remote · USA Full-time