Medical Record Reviewer Job at Amerit Consulting, Long Beach, CA

TVVNK2VQb25MQ0oxbDJVUVlzeVByOFphVXc9PQ==
  • 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 work, Home office,

Similar Jobs

Hampton Inn Cottonwood Heights

Hotel Front Desk Receptionist Job at Hampton Inn Cottonwood Heights

 ...Job Description Job Description Hampton Inn Cottonwood Heights is currently hiring for a part-time Hotel Front Desk Receptionist to join our hospitality team in the Holladay, UT area. This entry-level position earns a competitive wage of $13 - $15/hour .... 

Hope Grows Corp

Remote Data Entry Specialist Job at Hope Grows Corp

Whether you are looking for regular, ongoing lawn/landscape services or help with a one-time project, Hope Grows is ready to keep your property looking beautiful. Our trained, uniformed professionals deliver first-class lawn/landscaping services to the north side of...

FlexIT

Virtual Data Entry Assistant (100% Remote) Urgently hiring Job at FlexIT

Role Description This is a part-time remote Data Entry Assistant role. The Data Entry, Office Assistant will be responsible for organizing and inputting data in our systems, ensuring data accuracy and confidentiality, and updating existing databases. Additionally,...

The Cordish Companies

Sportsbook Writer - Sports & Social Washington Job at The Cordish Companies

 ...for processing transactions accurately and maintaining accurate reconciliations.Must be aware of all District of Columbia Office of Lottery and Gaming procedures and logging.Must know all terms and conditions pertaining to sports wagering.Must be fully aware of all... 

SGB-plus

Marketing Account Executive - Entry Level Job at SGB-plus

 ...The ideal candidate will be an entry level Marketing Account Executive who is comfortable generating marketing and sales lead with...  ...resources efficiently to maximize outcomes Qualifications Bachelor's degree Demonstrated ability to set goals and achieve them...