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
- ...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
...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- ...Job Title 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 to...Remote workHEDIS
$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$81.6k - $147.8k
...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$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- ...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
- ...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
$20 - $24 per hour
Job Title: Documentation Specialist III Location: Lake County, IL Hybrid; M/Fri remote, Tues-Thurs onsite Duration: 2 years (Possible Extension) Pay Range: $20-24/hr What are the top 3-5 skills, experience or education required for this position: Self-starter with superior...Remote workWork at officeShift work$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$118.6k - $157.14k
...Data Engineer III Find joy in serving others with IEHP! We welcome... ...judgment. # Conduct code reviews. # Direct and mentor some... ...including, but not limited to, HEDIS, CAHPS, and NCQA Accreditation... ...Work Schedule (Monday & Friday remote, Tuesday, Wednesday, Thursday...Remote workHEDISTemporary workMonday to FridayFlexible hours$80.06k - $106.06k
...to an authentic experience! The Analyst III is responsible for leading cross-functional... ...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$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- ...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
$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$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- ...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
- ...Partner IIIADP is hiring a field Client HR Business Partner III. This is a remote opportunity open to candidates located in Salt Lake City,... ...clients, using your HR experience, ADP product expertise, and consulting skills to solve their most critical business challenges....Remote workWork from home
$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$23 - $27 per hour
...Description Job Description Absolute Staffing & Consulting Solutions is looking for a Case Reviewer to join our team of professionals. This is a hybrid... ...Columbia, Maryland. While the position is performed remotely Monday through Friday, employees are expected to attend...Remote workWork at officeWork from homeMonday to FridayShift work- 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
$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$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- ...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
- ...Corner Alliance is a dynamic, growing consulting firm that devotes itself to providing an... ...government . We are currently seeking Merit Reviewers to join our team and fully embrace our... .../Timeline: This role will be fully remote and require approximately 40 hours per week...Remote workFull timeTemporary workFor contractorsLocal areaImmediate startAfternoon shift
- 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 jobPart timeWork at office
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!
- hedis nurse New York, NY
- hedis New York, NY
- supply chain analyst remote New York, NY
- procurement specialist remote New York, NY
- physician consultant remote New York, NY
- remote insurance agent New York, NY
- remote data manager New York, NY
- training manager remote New York, NY
- remote concierge New York, NY
- remote ui developer New York, NY



