HEDIS Reviewer III at SGS Consulting Remote
SGS Consulting
HEDIS Reviewer III job at SGS Consulting. Remote. Job Responsibilities: Work from home in Michigan area. Position will potentially make onsite visits to provider offices therefore MUST live IN or NEAR Michigan. 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 the applicable software system ALL assigned abstracts. Prioritize and accurately complete tasks within established times. Identifying trends and documentation of areas for improvement. 4 or more seasons of experience auditing and abstracting medical records required. Candidate must commit to attending 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. Skills: Computer savvy: Microsoft Word, Excel, email, and Adobe reader required. Know how to save a file to a folder. Education/Experience: High school diploma #J-18808-Ljbffr
- ...A national consulting firm seeks a HEDIS Reviewer III to work remotely, primarily in the Michigan area. The ideal candidate will possess a high school diploma and must have at least four seasons of experience in auditing and abstracting medical records. Responsibilities...Remote workHEDIS
- ...A leading consulting firm is seeking a HEDIS Reviewer II for a remote position. The role involves interpreting clinical criteria through medical records, ensuring accurate documentation for compliance with HEDIS and CMS. Candidates must possess a high school diploma or...Remote workHEDIS
- ...Hedis Reviewer Ii/ Iii Our client, a retail pharmacy company, is looking for a HEDIS Reviewer II/ III for their remote location. Responsibilities: Participates in the collection and review of medical records to abstract clinical information for HEDIS quality...Remote workHEDISLocal area
$43.93k - $80.32k
...Estimate Reviewer III – Remote Role | US Ready to Keep Estimates Accurate and Reliable? Be the Expert Behind Every Quality Review! Join Us as Estimate Reviewer III – Remote Role | US What's in it for you? Stay Precise: Review contractor estimates for technical...Remote workFull timeFor contractors$47 - $50 per hour
...Medical Reviewer/Safety Reviewer III Contract: 1 year with possible extension Hourly Rate: $47-50/hr (depending on benefit coverage election and location) Location: Remote (candidates need to be located in the USA and able to work without visa sponsorship)...Remote workHourly payContract workWork at officeWorldwideVisa sponsorshipWork visa- ...Hedis Reviewer - State Of Il 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...HEDIS
$79.2k - $143.4k
...this position may have the ability to work remotely. This position will remain open... ...and customer service. Responsible for review, audit, and remediation of any deviation... ...highest quality of external data released to HEDIS, CMS and Vizient. MINIMUM QUALIFICATIONS...Remote workHEDISHourly pay- ...healthcare staffing firm is seeking an experienced Chart Reviewer / QI Clerk / HEDIS Abstractor for a full-time position in Phoenix, Arizona. This... .... Competitive salary and benefits offered, with potential for remote work. #J-18808-Ljbffr Healthcare Support StaffingRemote jobHEDISFull time
- ...HJ Staffing is seeking a highly detail-oriented HEDIS Data Reviewer to join our team in support of our client . Working under the direction... ...correctly interpreting various record components such as consultations, medication forms, and health histories. Strategic...Remote workHEDISWork experience placementWork at officeMonday to Friday
$83k - $124.3k
...Scale: $83,000 - $124,300 / Year Worksite: Remote Appointment Type: Career Appointment... ...Monday - Friday #137607 HB Second Level Reviewer - Remote Apply Now Filing Deadline: Wed 1... ...highest quality of external data released to HEDIS, CMS and Vizient. MINIMUM QUALIFICATIONS...Remote workHEDISHourly payLocal areaMonday to FridayDay shift$110k - $130k
Overview Clinical Document Specialist III - Remote. This Jobot job is hosted by Daylen Quichocho. Salary: $110,000 - $130,000 per year. We are a large, full-service hospital organization providing a wide range of medical services including emergency care, heart and cancer...Remote workRelocation package$118.6k - $157.14k
...Leadership Team, the Engineer III is responsible for analysis of... ...including, but not limited to, HEDIS, CAHPS, and NCQA Accreditation... ...of results by an independent reviewer. # Demonstrate a commitment... ...schedule. (Monday & Friday - remote, Tuesday - Thursday onsite in...Remote workHEDISTemporary workWork experience placementWork at officeMonday to FridayFlexible hours$104.04k - $137.84k
...experience! The IT Business Systems Analyst III is responsible for planning, designing,... ...goals including, but not limited to, HEDIS, CAHPS, and NCQA Accreditation. Additional... ...hybrid work schedule. (Monday & Friday - remote, Tuesday - Thursday onsite in Rancho Cucamonga...Remote workHEDISTemporary workMonday to FridayFlexible hours$94.1k - $164.8k
...Job Summary: The Applied AI Scientist III is responsible for the development and... ...scientists through technical expertise and code reviews. Essential Functions: Evaluate... ...IT, risk adjustment, program integrity, HEDIS, healthcare operations, finance, and clinical...Remote workHEDISHourly payWork experience placementWork at office- ...A medical consulting company is expanding its physician panel by hiring a Physician Reviewer/Advisor. This telework role offers the flexibility to manage your schedule while providing advisory opinions based on independent medical exams. Candidates must be Board Certified...Remote workExtra income
- ...A healthcare consulting firm is seeking experienced Radiologists to join their team of medical reviewers. In this telework role, you will conduct comprehensive reviews of clinical cases without establishing a doctor-patient relationship. Key responsibilities include reviewing...Remote workFor contractorsFlexible hours
- ...A healthcare consulting firm is expanding its physician panel with a telework opportunity for Board Certified Neurologists in New York. As a Physician Reviewer/Advisor, you will provide expert reviews for insurance appeals and claims. This role offers flexible hours and...Remote workExtra incomeFlexible hours
- ...A healthcare consulting firm is looking for experienced Board-Certified Physical Medicine & Rehab/Pain Management physicians for a telework role. You'll conduct comprehensive clinical case reviews, provide objective opinions, and maintain a flexible schedule as a 1099...Remote workFor contractorsFlexible hours
$33 per hour
...RN Reviewer The RN Reviewer position is a crucial role in our organization — in this role... ...and collaboration skills across remote teams Customer-focused mindset and ability... ...continuous improvement mindset ~ Preferred: HEDIS abstraction, Legal RN, or Utilization...Remote workHEDISHourly payFull timeFlexible hoursShift work$118.6k - $157.14k
...authentic experience! The role of an Engineer III - Quality Assurance at IEHP is to Lead... ...goals including, but not limited to, HEDIS, CAHPS, and NCQA Accreditation. Additional... ...hybrid work schedule. (Monday & Friday - remote, Tuesday - Thursday onsite in Rancho...Remote workHEDISTemporary workWork experience placementMonday to FridayFlexible hours- ...A healthcare consulting firm seeks a 100% Remote Hematology Oncology MD/DO Reviewer to conduct medical expert reviews on treatment coverage for the CA DMHC. Candidates should have at least five years of experience in their specialty and a minimum of 24 hours of direct...Remote work
- ...A leading healthcare consulting firm is seeking Board-Certified Occupational Medicine physicians to join as independent contractors. This... ...opportunity allows you to customize your schedule while reviewing clinical cases and providing evidence-based medical opinions....Remote workFor contractors
- ...A healthcare consulting firm is seeking experienced Board-Certified Psychologists for a telework position in Louisiana. As a 1099 independent contractor, you will conduct clinical case reviews, providing evidence-based medical opinions. Candidates must hold a Ph.D or PsyD...Remote workFor contractors
- ...A healthcare consulting company is looking for experienced Dermatologists licensed in New Jersey to join as independent clinical reviewers. This remote telework opportunity allows you to customize your schedule while providing evidence-based opinions on dermatologic cases...Remote work
- ...A healthcare consulting firm in the United States is expanding its physician panel and offers a telework opportunity for Physician Reviewers/Advisors. In this role, you will utilize your clinical expertise to review medical records and provide independent opinions regarding...Remote work
- ...A healthcare consulting firm is expanding its physician panel for a telework opportunity as a Physician Reviewer/Advisor. The role offers flexibility in case types and volume, and requires candidates to be Board Certified in Neurology and have a KS license. This position...Remote workExtra incomeFlexible hours
- ...A medical consulting firm is seeking experienced Radiologists for telework opportunities to conduct comprehensive reviews of clinical cases. In this independent contractor role, you will provide objective, evidence-based medical opinions without establishing doctor-patient...Remote workFor contractorsFlexible hours
- ...A healthcare consulting firm is seeking experienced Internal Medicine Physicians for a telework opportunity. As an independent contractor, you'll enjoy flexible scheduling while reviewing clinical cases and providing expert medical opinions. Responsibilities include comprehensive...Remote workFor contractorsFlexible hours
- ...A leading healthcare consulting firm is seeking an expert reviewer to join their team. In this telework opportunity, you will evaluate medical records and provide clinical summaries. This role requires a Board Certification in Interventional and Diagnostic Radiology and...Remote workFor contractorsFlexible hours
- ...A technology consulting firm is seeking a Language Data and Quality Reviewer proficient in Czech and English for a freelance role. The position focuses on analyzing data, ensuring quality assurance, and providing translations aligned with cultural contexts. Ideal for candidates...Remote workHourly payExtra incomeFreelanceFlexible hours
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