What are the responsibilities and job description for the Medical Record Reviewer position at Amerit Consulting?
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.
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