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
- ...Working remotely with the potential for future onsite engagement, the full-time HEDIS Reviewer III will participate in the collection and review of medical records, abstract clinical information for HEDIS quality reporting, and ensure compliance with regulatory requirements...Remote workHEDISFull time
- ...Working remotely with potential onsite visits, the HEDIS Reviewer II will participate in reviewing and abstracting medical records to support HEDIS quality reporting and CMS performance measures while maintaining productivity and accuracy in data entry. Key responsibilities...Remote workHEDIS
$118.6k - $157.14k
...authentic experience!The Engineer III - Test Environment Management... ..., but not limited to, HEDIS, CAHPS, and NCQA Accreditation... ...matter expertise in compliance review meetings. Support a continuous... ...schedule. (Monday & Friday - remote, Tuesday - Thursday onsite in...Remote workHEDISMonday to Friday$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 and... ...hybrid work schedule. (Mon & Fri - remote, Tues - Thurs onsite in Rancho...Remote workHEDISTemporary work$104.04k - $137.84k
...Improvement (QI) Facilitator III - Medicare Stars serves... ..., but not limited to, HEDIS, CAHPS, and NCQA... ...Medicare Stars program expert consulting and coaching team... ...audits, data validation reviews, or compliance reportingMedicare... .... (Monday & Friday - remote, Tuesday - Thursday...Remote workHEDISTemporary workWork at officeMonday to Friday- ...Our Client, a Retail Pharmacy company, is looking for a HEDIS Reviewer II for their Remote/MI location. Responsibilities: Work with provider offices as needed to schedule/confirm appointments, follow up on medical record submission, and provide patient...Remote workHEDISCasual work
$104.04k - $137.84k
...experience!The IT Business Systems Analyst III is responsible for planning, designing,... ...Program 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 Friday- ...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
- ...HEDIS Data Reviewer The HEDIS Data Reviewer is responsible for performing high-volume, detail-oriented medical record abstraction, overread... ...from medical record components such as progress notes, consultations, medication forms, treatment plans, health histories, interval...Remote workHEDISWork at officeShift work
$92.4k - $133.67k
...communities we serve.The JobThe Healthcare Analyst III develops, documents, and programs in... ...-depth data analysis and interpretation, HEDIS reporting, and other related tasks.You... ...furnish information. 41 CFR 60-1.35(c)SummaryLocation: Long Beach, CA; Remote, USType: Full timeRemote workHEDISFull timeFor contractors$32.61 per hour
...Now Hiring: Remote HEDIS Reviewer | $32.61/Hour | Work From Home! Adecco Healthcare & Life Sciences is seeking experienced and detail-oriented HEDIS Reviewers for an exciting fully remote opportunity with a leading healthcare organization. If you have experience reviewing...Remote workHEDISHourly payTemporary workWork at officeLocal areaImmediate startWork from homeMonday to Friday$118.6k - $157.14k
...Department Leadership, the Developer III - Application Development is... ..., but not limited to, HEDIS, CAHPS, and NCQA Accreditation... ...businesses projects.Conduct code reviews and provider manful feedback.Analyze... ...schedule. (Monday & Friday - remote, Tuesday - Thursday onsite in...Remote workHEDISTemporary workWork experience placementMonday to Friday- ...GeBBS Consulting is a healthcare technology professional services and... ...Record Retrievers/Clinical Record Reviewers Summary : One of our... ...to support a need for HEDIS retrospective. The hired employees... ...EMR Location: Primarily Remote - Resources are required to...Remote workHEDISCurrently hiring
$68.64k - $72.8k
...Opportunity Overview: The RN Reviewer position is a crucial role in our organization —... ...communication and collaboration skills across remote teams Customer-focused mindset and... ...improvement mindset ~ Preferred: HEDIS abstraction, Legal RN, or Utilization Review...Remote workHEDISHourly payFull timeFlexible hoursShift workWeekend work- ...AlphaGov delivers public-sector consulting for cities, counties, school systems, special districts... ...-based collaborators. Engagements are remote-first with occasional client travel.... ...Audit External Quality Assessment Reviewer for current state work. A state court system...Remote workContract workBank staff
- ...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 workHEDIS
$78k - $85k
...Outpatient Quality Improvement Consultant Our client is seeking an Outpatient Quality Improvement... ...The organization offers a collaborative, remote-first culture focused on advancing... ...quality improvement • Experience with HEDIS, preventive care metrics, chronic disease...Remote workHEDISMonday to FridayFlexible hours$45.3 - $78.6 per hour
...focused wealth advisory, digital, audit, tax, consulting, and outsourcing services. Even with... ...to hire an experienced Seasonal Tax Reviewer to join our talented tax team. The position... ...work environment. This is a remote opportunity. This role is responsible...Remote workCasual workSeasonal work$58.24k
...services, records and information governance, workflow automation, consulting and hospitality and facilities services. Our Mission:... ...responsibilities listed above through a combination of in-person training, remote training, and self-guided learning ~ Ability to multi-task...Remote workHourly payFull timeWork at officeNight shift$21 per hour
...Job Description Job Description Job Title Contract Documentation Specialist III Location: 100 % Remote Hybrid Schedule - Remote Duration: 12 + months Possible extension Pay Rate: $21.00/hr Job Description: • What are the top 3-5 skills, experience...Remote workOngoing contractContract work- ...Position type Part-time consultant Update Active, 2026 Phase III, Job description is updated on 2026/09/23, valid until 2026/10/23 Our Request... ...assets/bitcoin related. This position is a remote/online, part-time role, project based with competitive...Remote workHourly payLong term contractFull timeTemporary workPart timeImmediate startWork from home
- ...help drive quality performance, HEDIS measures, Stars performance,... ...Conduct provider performance reviews and develop improvement plans... ...provider engagement with remote planning, analysis, and meeting... ...Insight Global is a staffing, consulting, and AI services company that...Remote workHEDISContract workWork at office
$106.25k - $143.65k
...fast-growing independent boutique CPA and Tax Consulting firm, is seeking several new Tax Professionals - Senior and Manager. Remote options may be available. Summary: This firm... ...tax experience * Able to prepare and/or review corporate, partnership, and individual tax returns...Remote workWork experience placementFlexible hours$70k - $115k
...Exceptional candidates may qualify for remote consideration based on experience and credentials... ...of tax experience including tax return review, and be proficient in CCH Axcess Tax.... ...Us We are an established CPA and consulting firm dedicated to helping individuals and...Remote workFull timeFlexible hours$112.7k - $193.2k
..., you will have the flexibility to work remotely* as you take on some tough challenges.Primary... ..., networks, clinical, case management, HEDIS measures, etc.)Collaborates with... ...various studies that include analyzing, reviewing, forecasting, trending, and presenting information...Remote workHEDISMinimum wageFull timeContract workWork experience placementWork at officeLocal area$69.8k - $125.9k
...business initiatives. Responsibilities include reviewing project scope, supporting business needs... ...outcomes. Deep understanding of HEDIS measures, quality reporting methodologies... ...Sponsorship is not available This is a remote role #LI-KW1 #LI-remote #INAK Are...Remote workHEDISFull timeWork experience placement- ...A leading healthcare consulting firm is seeking a Specialty Physician Reviewer with expertise in genetics to conduct thorough reviews and provide peer consultations. This flexible contract role requires an MD or DO degree and board certification in relevant specialties...Remote workContract workFlexible hours
$30 - $48 per hour
...managers, inspectors, constructability reviewers, schedulers, estimators and safety experts... ..., TX office. This position can work remotely. Michael Baker is seeking a talented... ..., a leading provider of engineering and consulting services, including design, planning, architectural...Remote workOngoing contractContract workTemporary workFor contractorsLocal areaOverseas- ...confidence. Reporting to the Solutions Consultant, we are looking for an experienced... ...Medicare Promoting Interoperability, MIPS, HEDIS, and other applicable quality programs... ...Excel, and PowerPoint • Ability to work remotely and travel as needed for customer meetings...Remote workHEDIS
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