What are the responsibilities and job description for the HEDIS Reviewer for MI, PA, NJ, CA, KS, KY, MI position at Pro-IT?
Title: HEDIS Reviewer III
Location: WFH
Hours: MON-FRI 8AM-5PM
Description:
Duties
- Complete assigned abstraction and data entry each day.
- Work with provider offices as needed to schedule/confirm appointments, follow up on medical record submission, and provide patient rosters
- Locate and review ALL assigned medical charts, perform abstraction, copy all supporting documentation per specifications and data enter into the applicable software system ALL assigned abstracts.
- Prioritize and accurately complete tasks within established times
- Identifying trends and documentation of areas for improvement
- Maintaining project productivity levels while maintaining accuracy requirements for abstraction and data entry activities"
Experience
- 4 or more years of experience auditing and abstracting medical records required
- Candidate must commit to attend all required training and conference calls assigned for the project.
- Candidate must return all equipment that is supplied to them in good working condition and in a timely manner at the end of the project
- Medical knowledge/terminology is required.
- Ability to read and interpret medical records.
- Professional demeanor and good work ethic.
- Computer savvy: Microsoft Word, Excel, email, and Adobe reader required. Know how to save a file to a folder.
- Excellent verbal and written communication skills – clear, concise and appropriate.
- Conscientious problem solver, willing to learn, and take personal pride in their work performance/accuracy.
- Exceptional attention to detail and excellent analytical, investigation, and problem-solving skills
- Proven organizational and time management skills including the ability to meet required deadlines
- Must keep all information collected in a safe, organized and confidential manner while maintaining confidentiality of PHI, HIPAA Privacy and Security Rules"
Job Types: Contract, Full-time
Salary: $30.00 - $40.00 per hour
Benefits:
- 401(k)
- Dental insurance
- Health insurance
- Life insurance
- Vision insurance
- Work from home
Schedule:
- Day shift
Work setting:
- Remote
Experience:
- HEDIS: 5 years (Preferred)
- Abstracting/ Reviewing: 5 years (Preferred)
- Medical records: 5 years (Preferred)
License/Certification:
- Epic Certification (Preferred)
Work Location: Remote
Salary : $30 - $40
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