All roles

Remote HEDIS Job at A-Line Staffing Solutions 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 all assigned medical charts and perform abstraction of charts sent in by providers.
  • Perform 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 all 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 flash 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 progress 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 keep all 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 To This Job Apply To This Job Apply To This Job

Apply To This Job

Related roles

HEDIS Nurse Abstractor (Remote)

Remote · USA Full-time

Experienced Clinical Quality HEDIS Nurse - Remote - Join the Optum Family and Revolutionize Healthcare

Remote · USA Full-time

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

Remote · USA Full-time

[Work From Home] Healthcare Consultant - Hedis II

Remote · USA Full-time

Clinical Nurse Auditor, HEDIS Remote Part Time WA OR

Remote · USA Full-time

Sr. Abstractor, HEDIS/Quality Improvement (Remote in Pacific Time)

Remote · USA Full-time

Supervisor, Clinical Documentation Integrity (CDI) - (Remote) Livonia, Michigan

Remote · USA Full-time

Manager, Clinical Documentation Improvement | CDI | Remote (FL only)

Remote · USA Full-time

Outpatient Clinical Documentation Specialist - Full Time Remote Opportunity with Workwarp

Remote · USA Full-time

Outpatient Clinical Documentation Specialist/Full Time/Remote

Remote · USA Full-time

Strategy & Planning Analyst (LATAM) – Remote (LATAM)

Remote · USA Full-time

Supply Chain Customer Support Specialist

Remote · USA Full-time

Experienced Data Analyst – Statistical Modeling and Predictive Analytics for arenaflex

Remote · USA Full-time

Experienced Senior Customer Support Engineer for Hybrid Role with Advanced Technical Expertise and Excellent Communication Skills

Remote · USA Full-time

/Fluent English and Russian/ Customer Support Consultant/ crypto /remote/

Remote · USA Full-time

Experienced Part-Time Entry Level Data Entry Clerk Typing - Remote Opportunity at arenaflex

Remote · USA Full-time

Experienced Full Stack Data Analyst – IT Financial Management Application Development

Remote · USA Full-time

Product Engineer II - Remote High Speed Data Connectors

Remote · USA Full-time

Director of Product Design

Remote · USA Full-time

Full Remote - Bookkeeper

Remote · USA Full-time