Sign up to access all features of our service.
  • Job search
  • Favorites
  • Create a CV
    New
  • Salaries
  • Subscriptions

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

Vacancy posted 3 days ago
Similar jobs that could be interesting for youBased on the HEDIS Reviewer III at SGS Consulting Remote in New York, NY vacancy
  •  ...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 work
    HEDIS

    SGS Consulting

    New York, NY
    3 days ago
  •  ...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 work
    HEDIS
    Local area

    ICONMA

    United States
    4 days ago
  • $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 work
    HEDIS
    Hourly pay

    UC San Diego

    San Diego, CA
    1 day ago
  •  ...Summary: Participates in the member and provider outreach, 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. Duties: • Outreach to members... 
    Remote work
    HEDIS

    Varite

    United States
    1 day ago
  • $40 - $44.59 per hour

     ...Position Title: HEDIS Data Reviewer Location: Remote (work in eastern time) Duration: 3 Months Schedule: 8:30 AM - 5:00 PM...  ...from medical record components such as progress notes, consultations, medication forms, treatment plans, health histories... 
    Remote work
    HEDIS
    Work at office
    Shift work

    Pacer Group

    United States
    4 days ago
  •  ...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 work
    HEDIS
    Contract work
    Local area

    Parkland Health and Hospital System (PHHS)

    Dallas, TX
    5 days ago
  • $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 I...  ...hybrid work schedule. (Mon & Fri - remote, Tues - Thurs onsite in Rancho... 
    Remote work
    HEDIS
    Temporary work
    Flexible hours

    Inland Empire Health Plan

    Rancho Cucamonga, CA
    12 hours ago
  •  ...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... 
    Remote work
    HEDIS

    Amerit Consulting

    United States
    12 hours ago
  • $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 work
    HEDIS
    Temporary work
    Monday to Friday
    Flexible hours

    Inland Empire Health Plan

    California, MO
    3 days ago
  •  ...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 work
    Part time
    Work at office

    Crossing Hurdles

    New York, NY
    3 days ago
  • $30 - $31 per hour

     ...$31.00/hr This range is provided by TSR Consulting Services, Inc. Your actual pay will be based...  ...distribution of controlled documents. Review, format, and process documents such as...  ...NJ) Clinical Documentation Specialist (Remote) Princeton, NJ $50,000 - $53,000 Piscataway... 
    Remote work
    Contract work

    TSR Consulting

    Princeton, NJ
    1 day ago
  • $32 - $55 per hour

    A consulting firm is seeking a Healthcare Construction Plan Reviewer to evaluate electronic construction drawings for healthcare facilities, ensuring compliance with safety standards. This remote role requires 1+ years of relevant experience and a bachelor’s degree. Ideal... 
    Remote work
    Hourly pay

    My3Tech Inc

    Indiana, PA
    2 days ago
  • $17 - $21 per hour

    A leading consulting firm is seeking an entry-level Data Information / Input Assistant to support their team from home. The role involves updating and verifying data, organizing digital files, and ensuring data privacy. The ideal candidate is detail-oriented and willing... 
    Remote work
    Hourly pay

    Wadley Donovan Gutshaw Consulting

    Bridgewater, NJ
    12 hours ago
  • A leading engineering and technology consulting company seeks a Document Control Specialist - Level 1 to manage and control all project documentation. This long-term contract position is 100% remote, requiring occasional office visits. Candidates must have a Bachelor's... 
    Remote job
    Long term contract
    Work at office

    ALTEN

    Madison, WI
    4 days ago
  • $104.04k - $137.84k

     ...including, but not limited to, HEDIS, CAHPS, and NCQA...  ...succession planning and talent review protocols for executive and critical...  ...Executive Partnership & Consulting Partner closely with L&OD...  ...work schedule. (Mon & Fri - remote, Tues - Thurs onsite in Rancho... 
    Remote work
    HEDIS
    Temporary work
    Flexible hours

    Inland Empire Health Plan

    Rancho Cucamonga, CA
    12 hours ago
  •  ...Applicants should have a strong understanding of retirement plans, excellent communication skills, and experience with relevant software. The position may be fully remote or based in Los Angeles, CA, with a collaborative and supportive team atmosphere. #J-18808-Ljbffr... 
    Remote work

    ASC Net

    Los Angeles, CA
    4 days ago
  •  ...Document Support Specialist - Full-Time, Remote, MUST reside in GA, TN, FL, or MT About Us At StartCHURCH, we're on a mission to support...  ...role is critical to ensuring client documents are prepared, reviewed, and processed correctly and on time. If you like structured work... 
    Remote work
    Weekly pay
    Full time
    Monday to Friday
    Flexible hours

    StartCHURCH

    Duluth, GA
    12 hours ago
  •  ...Lumen Solutions Group Inc. is a technology consulting Services company based in Florida. We...  ...Specialist Job Location Washington, DC (Remote) Job Type Long Term Contract...  ...issues. Support operational readiness reviews and implementation activities.... 
    Remote work
    Long term contract
    Work experience placement

    Lumen Solutions Group Inc.

    United States
    4 days ago
  •  ...Specialist. This position may be fully remote or based in our Los Angeles, CA office....  ...Collaborate with internal teams to deliver consulting services through Silver Support and...  ...data mapping and plan document conversion reviews, including file analysis. Review and test... 
    Remote work
    Work at office
    Home office
    Flexible hours

    ASC Net

    Los Angeles, CA
    4 days ago
  • $89.8k - $176.7k

     ...Performance Manager-Medicare Consultant is responsible for program implementation...  ...results. The person will review charts (paper and electronic...  ...plans to increase their HEDIS performance, facilitate risk...  ...provider meetings) and 40% remote work You’ll be rewarded and recognized... 
    Remote work
    HEDIS
    Minimum wage
    Full time
    Work experience placement
    Work at office
    Local area

    Optum

    West Liberty, KY
    12 hours ago
  • $30 - $45 per hour

    A leading healthcare consulting agency is seeking an Operations Specialist III for a contract opportunity in Long Beach, CA....  ...experience in Epic EHR and Utilization Review. The selected candidate will...  ...metrics. This position is remote and offers a pay range of $30-$45... 
    Remote work
    Hourly pay
    Contract work

    Pyramid Consulting

    Long Beach, CA
    12 hours ago
  • A national provider of Utilization Review services is seeking board-certified Occupational Medicine physicians to join their telework panel. This independent consulting role offers flexibility, allowing you to choose case types and workloads while maintaining your active... 
    Remote work
    Flexible hours

    Dane Street

    Los Angeles, CA
    12 hours ago
  • $100k - $150k

     ...Tax Reviewer Cutler Advisors is an independent, full-service accounting and advisory firm specializing in accounting and consulting services for businesses and individuals. We currently have...  ...and proven experience, working remotely is negotiable but is not guaranteed... 
    Remote work
    Full time
    Temporary work
    Work at office
    Local area
    Monday to Friday

    Current USA

    Pittsburgh, PA
    4 days ago
  •  ...rescheduling patients appointments and/or consults including imaging studies; entering no...  ...Provider, Social worker, Pharmacist, etc.). to review the clinic utilization by using various...  ...messages, VeTEXT, VAR, as well as SAIL/ HEDIS metrics that directly impact the PACT... 
    Remote work
    HEDIS
    Permanent employment
    Work at office
    Relocation package

    US Department of Veterans Affairs

    Hampton, VA
    1 day ago
  • $15 - $17 per hour

     ...Title: Document Specialist III Location: Abbott Park, Illinois (100% Onsite) Duration: 12 Months Pay Range: $15/hr to $17/hr (On W2) Job Summary The primary function is to review and process document change request packages to maintain necessary division level documentation... 
    Work at office

    ManpowerGroup Global, Inc.

    Waterford, WI
    12 hours ago
  •  ...Description Job Description Remote Work from Home! Aldridge...  ...The Foreclosure Ops Specialist III, positioned within the Office...  ...role entails a comprehensive review of foreclosure documents, onboarding...  ...free 24/7 counseling and consulting services to support emotional... 
    Remote work
    Full time
    Work at office
    Local area
    Work from home
    Flexible hours

    Aldridge Pite LLP

    Atlanta, GA
    18 days ago
  •  ...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... 
    Remote job
    Full time
    Contract work
    Part time
    Freelance
    Work at office

    Beech Valley Solutions

    Remote
    22 days ago
  •  ...Tuesday - Thursday IN OFFICE and Monday & Friday can be REMOTE) Summary The Document Controls Specialist III is responsible for carrying out the DC processes to...  ...areas. Processing the latest version of a document (reviewed and/or ready for issuance) to ensure the latest... 
    Remote work
    Contract work
    Temporary work
    For contractors
    Work at office
    Monday to Friday

    WorkRise

    Salt Lake City, UT
    12 hours ago
  •  ...and collaboration with cross-functional teams. Candidates should have over five years of experience in a primary care setting and strong analytical skills. The position is remote within certain states and offers competitive compensation and benefits. #J-18808-Ljbffr... 
    Remote work
    HEDIS

    Greenbrook Medical

    Tampa, FL
    3 days ago
  • $17 per hour

     ...Clinical Call Center Coordinator Job Id: 26-03480 Location: Remote Role Duration: 04-05 Months Contract Position Type: Hourly...  ...Must have experience with inbound and outbound call center. HEDIS background a plus Job Description Clinical Call Center Coordinator... 
    Remote work
    HEDIS
    Hourly pay
    Contract work
    Work at office
    Local area
    Monday to Friday

    Sunrise Systems Inc

    Tallahassee, FL
    3 days ago

Do you want to receive more vacancies?

Subscribe and receive similar vacancies to HEDIS Reviewer III at SGS Consulting Remote. Be the first to apply!