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
- ...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
- ...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
- ...Dispute Resolution Reviewer III (Healthcare Professional) Job Category: Program Management Full-Time Remote, Anywhere USA Description Please make sure your application is complete, including your education, employment history, and any other applicable sections...Remote workFull timeContract workTemporary work
- ...Inpatient Experience Required - Remote work for TX, AR, WI and FL... ...purpose of the Coding Specialist III is to code and verify data... ...-10 CM, PCS, CPT, HCPCS. HCC, HEDIS CAT II and modifier codes for... ...maintain 95% accuracy on quality reviews and meet assigned productivity...Remote workHEDISContract workLocal area
$118.6k - $157.14k
...Department Leadership, the Developer III is responsible for the design,... ..., but not limited to, HEDIS, CAHPS, and NCQA Accreditation... ...business projects. # Conduct code reviews. # Direct/mentor some level... ...work schedule. (Mon & Fri - remote, Tues - Thurs onsite in Rancho...Remote workHEDISTemporary workFlexible hours$93.4k - $116.8k
...background in Quality including quality of care reviews, incident investigation, and regulatory... .../members utilizing outcomes data. Consults and collaborates with clinical staff to identify... ...onsite medical record reviews for HEDIS or other related compliance or quality improvement...Remote workHEDISWork experience placementFlexible hours$70.6k - $149.6k
...Health Care Service Corporation is hiring a Clinical Practice Consultant to support quality initiatives and value-based care models in Albuquerque, NM. This remote role requires a Registered Nurse (RN), Physician's Assistant, or Nurse Practitioner with significant experience...Remote workHEDIS$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$110k - $130k
Clinical Document Specialist III - Remote Salary: $110,000 - $130,000 per year A bit about us We are a large, full‑service hospital organization providing a wide range of medical services including emergency care, heart and cancer treatment, maternity with a Level II...Remote workLocal areaRelocation package$118.6k - $157.14k
...Leadership, the Data Engineer III is responsible for the design,... ...independent judgment. Conduct code reviews. Direct and mentor some level... ..., but not limited to, HEDIS, CAHPS, and NCQA Accreditation... ...Work Schedule (Monday & Friday remote, Tuesday, Wednesday, Thursday...Remote workHEDISTemporary workMonday to FridayFlexible 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
$79.2k - $143.4k
#138000 HB Outpatient Second Level Reviewer - Remote Extended Deadline: Thu 4/2/2026 UC San Diego values and welcomes people from all backgrounds... ...coding, and the highest quality of external data released to HEDIS, CMS and Vizient. MINIMUM QUALIFICATIONS Seven (7) years of...Remote jobHEDISHourly payLocal areaDay shift- ...Merit Reviewers Corner Alliance is a dynamic, growing consulting firm that devotes itself to providing an enriching employee experience while working in meaningful... ...Location/Timeline: This role will be fully remote and require approximately 40 hours per week, ideally...Remote workFull timeTemporary workFor contractorsAfternoon shift
$49.5k - $92.8k
...organization. Stage and publish new and revised records on approval applications. Secure cooperation of appropriate levels of authority. Consult with local content owners to ensure standards, templates, and publishing protocol are followed. Support content organization and...Remote workWork experience placementLocal area$135.2k - $179.13k
...to an authentic experience! This Engineer III - Power BI Platform is a highly skilled... ...Program goals including, but not limited to, HEDIS, CAHPS, and NCQA Accreditation.... ...hybrid work schedule. (Monday & Friday - remote, Tuesday - Thursday onsite in Rancho Cucamonga...Remote workHEDISTemporary workMonday to FridayFlexible hours- ...accountants to highly sought-after freelance consulting opportunities. We’ve curated a network... ...the country. These opportunities are remote, career-building projects that match interests... ...experience 3+ years of experience reviewing tax returns CPA, Enrolled Agent, or Master...Remote workFull timeContract workPart timeFreelanceWork at office
- ...Association Inc is seeking an Advisory Services Senior Consultant in Eden Prairie. This position involves delivering HEDIS consulting, analyzing healthcare data, and... ...compliance for Medicare plans while allowing remote work from anywhere in the U.S. Ideal candidates...Remote jobHEDIS
$91.7k - $163.7k
Stryker Corporation is hiring an Advisory Services Senior Consultant to leverage expertise in HEDIS data analytics and quality measures. This remote position, available to candidates nationwide, involves collaborating with health plans to ensure compliance and enhance...Remote jobHEDIS- UnitedHealth Group is seeking an Advisory Services Senior Consultant to improve HEDIS data and analytics for Medicare Advantage plans. This remote role requires experience in healthcare claims and SQL, providing consulting to health plan clients, supporting data validation...Remote jobHEDIS
$91.7k - $163.7k
Texas Health Institute is seeking an Advisory Services Senior Consultant to leverage expertise in HEDIS data and analytics. You will work remotely within the U.S., serving as a critical resource for health plans aiming to enhance Medicare Advantage outcomes. The ideal...Remote jobHEDIS- ...Location Ferndale, WA (Hybrid – onsite first week, then remote) Overview Support a high-volume data migration project involving ~10,000 documents transferred from LiveLink to Falcon. Role requires strong accuracy, productivity, and adherence to document control processes...Remote workFor contractors
- Optum is seeking an Advisory Services Senior HEDIS Consultant to improve health outcomes for Medicare Advantage. In this role, you will provide... ...clients in compliance and performance improvement efforts. Remote work is available from anywhere in the U.S. Applicants should...Remote jobHEDIS
$23 - $25 per hour
...Specialist for a prominent client of ours. This position is in REMOTE (Must be local to Lake County, IL) . Details for the position are... ...documentation timelines are met. Key Responsibilities Process, route, review, and manage GxP documents through electronic document management...Remote workContract workWork at officeLocal areaShift work$93.2k - $148.19k
Program Manager III, Clinical Operations Job Category : Program... ...002848 Apply now Full-Time Remote Salary Range: $93,200 USD to... ...enterprise‑level impact, including HEDIS, CAHPS, NCQA, and related... .... Criminal History: includes review of criminal convictions and probation...Remote workHEDISFull timeTemporary workPart timeWork at officeTrial periodFlexible hours- Optum Insight is looking for an Advisory Services Senior Consultant to enhance HEDIS data analytics and compliance. This role allows remote work, requiring office presence in Minneapolis for certain positions. You will partner with health plan clients to improve Medicare...Remote jobHEDISWork at office
- ...A dynamic consulting company is seeking Excel/PowerPoint/Document Style Experts for a remote, part-time position. In this role, you will enhance documents, spreadsheets, and slide presentations following a specific style guide, ensuring visual consistency and quality....Remote workPart timeWork at office
$20 per hour
A healthcare AI consulting firm in the United States is seeking a Peer Review Coordinator. The ideal candidate will have expertise in healthcare, providing AI chatbots... ...of model responses. This role offers a flexible remote position with projects paid hourly, starting at $2...Remote jobHourly payFor contractorsFlexible hours$9 - $13 per hour
A U.S.-based tech consulting firm is seeking a Language Data and Quality Reviewer skilled in Swedish and English for freelance, task-based work. This role involves analyzing datasets, ensuring data accuracy, overseeing quality, and providing language translations. Ideal...Remote jobHourly payExtra incomeFreelanceFlexible hours- EPIC COGITO & RADAR Analyst (100% REMOTE/NO C2C) 2 days ago Be among the first 25 applicants... ...message the job poster from Amerit Consulting Lead Recruiting Specialist at Amerit Consulting... ...like Meaningful Use, MACRA, MIPS, and HEDIS. Ability to develop reports and dashboards...Remote jobHEDIS
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