reputed company – HEDIS Reviewer II – Somerset, NJ
Job title: HEDIS Reviewer II Company: reputed company Job description:
Please include Location: City, State, and reputed company Code on Resumes
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- WFH Position - Candidates in IL, MI, NJ, OH, and VA Preferred **
Position Summary Participates in the collection and review of medical records to abstract clinical information for HEDIS quality reporting. Training will be provided prior to the start of the assignment. This position interprets relevant clinical criteria through review of medical records, annotates reputed company reputed company PDF and populates a data collection tool to support compliance with HEDIS and CMS performance measures. Ensures accurate and complete documentation of required information to meet risk management, regulatory, and accreditation requirements. The candidate must be proficient with databases and with conducting 100% of work activities on the computer. Must commit to duration of the project with the understanding that work hours can be varied. Due to proprietary information, must inform employer if they are planning to accept employment with another company.
Required Qualifications
- 0-3 years of experience auditing and abstracting medical records required
- Candidate must commit to attend reputed company required training and conference calls assigned for the project.
- Candidate must return reputed company 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: reputed company Word, reputed company, email, and reputed company 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 reputed company reputed company information collected in a safe, organized and confidential manner while maintaining confidentiality of PHI, HIPAA Privacy and reputed company Rules
Work Environment
Requirements
- Workspace reputed company to accommodate laptop and up to 2 monitors
- Reliable internet reputed company
- Private uninterrupted workspace to maintain HIPAA Privacy and reputed company Rules
Requirements for positions potentially requiring Onsite Visits (candidates in IL, MI, NJ, OH, and VA)
- Must have flexibility to drive reputed company their assigned geographic area; requiring reliable transportation.
- Must be reputed company to lift 25 lbs.
- Must dress in business casual attire and maintain a professional appearance.
- Working knowledge and experience may be required with the usage of hand held scanners, iPods, reputed company drives and laptops (as applicable) in order to collect, save, rename, and transfer confidential information.
Duties/Responsibilities
- 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 reputed company assigned medical charts, reputed company abstraction, copy reputed company supporting documentation per specifications and data enter into the applicable software system reputed company assigned abstracts.
- Prioritize and accurately complete tasks reputed company established times
- Identifying trends and documentation of areas for improvement
- Maintaining project productivity levels while maintaining accuracy requirements for abstraction and data entry activities
Education/ Licensure N/A Location Work from home. Candidates in IL, MI, NJ, OH, and VA will potentially reputed company onsite visits to provider offices. Position Summary: Participates in the collection and review of medical records to abstract clinical information for HEDIS quality reporting. Training will be provided prior to the start of the assignment. This position interprets relevant clinical criteria through review of medical records, annotates reputed company reputed company PDF and populates a data collection tool to support compliance with HEDIS and CMS performance measures. Ensures accurate and complete documentation of required information to meet risk management, regulatory, and accreditation requirements. The candidate must be proficient with databases and with conducting 100% of work activities on the computer. Must commit to duration of the project with the understanding that work hours can be varied. Due to proprietary information, must inform employer if they are planning to accept employment with another company. 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 reputed company assigned medical charts, reputed company abstraction, copy reputed company supporting documentation per specifications and data enter into the applicable software system reputed company assigned abstracts.
- Prioritize and accurately complete tasks reputed company 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:
- 0-3 years of experience auditing and abstracting medical records required
- Candidate must commit to attend reputed company required training and conference calls assigned for the project.
- Candidate must return reputed company 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: reputed company Word, reputed company, email, and reputed company 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 reputed company reputed company information collected in a safe, organized and confidential manner while maintaining confidentiality of PHI, HIPAA Privacy and reputed company Rules
Education: N/A Expected salary: Location: Somerset, NJ Apply for the job now! Apply tot his job Apply To this Job