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
- ...Job Description Job Description Remote but must be able to get to Newark, Nj to pick... ...conducting quality audits for state audits, HEDIS and quality referral and complaints... ...Responsibilities: 1. Conducts on-site/virtual reviews at participating provider offices to...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
...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 to incorporate... ...schedule. (Monday & Friday - remote, Tuesday - Thursday onsite in...Remote workHEDISWork at officeMonday 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
...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$118.6k - $157.14k
...authentic experience!The role of an Engineer III - Quality Assurance at IEHP is to Lead... ...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 workWork experience placementMonday to Friday- ...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 workHEDIS
- ...Document Imaging Specialist III ProSidian Consulting is looking for professionals who share our commitment to integrity, quality, and value. ProSidian is a management and operations consulting firm with a reputation for its strong national practice spanning six solution...Contract workWork experience placementWork at officeImmediate start
$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 workHEDISWork at officeShift work$83k - $124.3k
...: $83,000 - $124,300 / Year Worksite: Remote Appointment Type: Career Appointment... ...- Friday #137607 HB Second Level Reviewer - Remote Apply Now Filing Deadline:... ...highest quality of external data released to HEDIS, CMS and Vizient. MINIMUM QUALIFICATIONS...Remote workHEDISHourly payLocal areaMonday to FridayDay shift- ...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 - 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$80.06k - $106.06k
...an authentic experience! The Analyst III is responsible for leading cross-functional... ...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$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- ...effectiveness and practice efficiencies. The Hybrid role based in Louisiana focuses on collaborating with providers on quality measures, interpreting claims data, and driving improvements in HEDIS performance within a state-regulated framework. #J-18808-Ljbffr Search ResultsRemote jobHEDIS
- ...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 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... ...ambulatory quality improvement • Experience with HEDIS, preventive care metrics, chronic disease...Remote workHEDISMonday to FridayFlexible hours- ...Asheville, NC, is seeking a Quality Practice Advisor to build strong relationships with physician practices and IPAs while advancing HEDIS and risk adjustment initiatives. This role requires educating providers on NCQA measures, medical record documentation, and coding...Remote jobHEDIS
- ...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 workFull timeContract workPart timeFreelanceWork at office
$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 workHourly pay$135k
Full time | SerKy Consulting, LLC | Remote Job Posted On 08/05/2026 Job Information Health Care Work Experience 1-3 years $135,000 Job Description... ...HCC coding, risk adjustment, and closure of STAR and HEDIS quality gaps Help develop and refine care pathways,...Remote workHEDISFull timeWork experience placement$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... ...public tax experience* Able to prepare and/or review corporate, partnership, and individual tax...Remote workWork experience placementFlexible hours- 24-MAG LLC is offering a part-time remote consulting engagement for experienced biology and environmental science professionals. You will review documents, spreadsheets, and presentations for scientific accuracy, rigor, and credibility. The ideal candidate has 5+ years...Remote jobPart timeWork at office
- 24‑MAG LLC is offering a part‑time remote consulting opportunity for experienced market research and competitive intelligence professionals. You will review professional documents, spreadsheets, and presentations for factual accuracy, analytical rigor, source quality, and...Remote jobPart timeFlexible 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$135.2k - $179.13k
...Program goals including, but not limited to, HEDIS, CAHPS, and NCQA Accreditation.Additional... ...for all stakeholders. Perform security review in technology products and solutions (... ...on a hybrid work schedule. (Mon & Fri - remote, Tues - Thurs onsite in Rancho Cucamonga,...Remote workHEDISTemporary work- ...Corner Alliance is a dynamic, growing consulting firm that devotes itself to providing an... ...government. We are currently seeking Merit Reviewers with 5+ years of experience to join our... ...promote the use of broadband to access remote learning, telework, or telehealth...Remote workFull timeTemporary workWork experience placementLocal areaAfternoon shift
- ...VIVA Consulting is a Boston-area real estate consulting firm providing tailored expertise... ...looking for a reliable and detail-oriented Remote Document Entry Clerk to help enter,... ...into company databases or spreadsheets. Review documents and check that information is...Remote workWork from homeFlexible hours
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