HEDIS Reviewer III
SGS Consulting
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
Vacancy posted more than 2 months ago
Similar jobs that could be interesting for youBased on the HEDIS Reviewer III in Remote 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...HEDISRemote work
SGS Consulting
New York, NY3 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...HEDISLocal areaRemote work
ICONMA
United States4 days ago - 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....HEDISRemote jobLive inWork from home
- ...primary purpose of the Coding Specialist III is to code and verify data necessary to ensure... ...of ICD-10 CM, PCS, CPT, HCPCS. HCC, HEDIS CAT II and modifier codes for both professional... ...and maintain 95% accuracy on quality reviews and meet assigned productivity standards....HEDISContract workLocal areaRemote work
Parkland Health and Hospital System
Dallas, TX7 hours ago $118.6k - $157.14k
...Encounters & EDI Leadership Team, the Engineer III is responsible for analysis of new DHCS/... ...goals including, but not limited to, HEDIS, CAHPS, and NCQA Accreditation.Additional... ...replication of results by an independent reviewer.Demonstrate a commitment to incorporate...HEDISWork at officeRemote workMonday to Friday$118.6k - $157.14k
...opportunity to an authentic experience!The Engineer III - Test Environment Management is the lead... ...goals including, but not limited to, HEDIS, CAHPS, and NCQA Accreditation.Additional... ...subject matter expertise in compliance review meetings. Support a continuous release schedule...HEDISRemote workMonday to Friday$118.6k - $157.14k
...to IT Department Leadership, the Developer III is responsible for the design, planning,... ...Program goals including, but not limited to, HEDIS, CAHPS, and NCQA Accreditation.Additional... ...in key business projects.Conduct code reviews.Direct/mentor some level I and II developers...HEDISTemporary workRemote work- ...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...HEDISRemote work
US Tech Solutions
United States5 days ago $81.6k - $147.8k
...HB Second Level Reviewer - Remote UC San Diego Health's Revenue Cycle department supports the organization's mission to deliver outstanding... ...coding, and the highest quality of external data released to HEDIS, CMS and Vizient. Minimum Qualifications Seven (7)...HEDISHourly payRemote workUC San Diego
United States3 days ago$104.04k - $137.84k
...opportunity to an authentic experience!The IT Business Systems Analyst III is responsible for planning, designing, overseeing development,... ...IEHP’s Quality Program goals including, but not limited to, HEDIS, CAHPS, and NCQA Accreditation.Additional BenefitsPerksIEHP is not...HEDISTemporary workRemote workMonday to Friday$118.6k - $157.14k
...” opportunity to an authentic experience!The role of an Engineer III - Quality Assurance at IEHP is to Lead Quality Assurance efforts... ...incorporate IEHP’s Quality Program goals including, but not limited to, HEDIS, CAHPS, and NCQA Accreditation.Additional BenefitsPerksIEHP is...HEDISTemporary workWork experience placementRemote workMonday to Friday- ...HEDIS Data Reviewer The HEDIS Data Reviewer is responsible for performing high-volume, detail-oriented medical record abstraction, overread, and quality review activities in support of annual Healthcare Effectiveness Data and Information Set (HEDIS), State EQRO, and...HEDISWork at officeRemote workShift work
Pacer Group
United States2 days ago $118.6k - $157.14k
...to IT Department Leadership, the Developer III - Application Development is responsible... ...Program goals including, but not limited to, HEDIS, CAHPS, and NCQA Accreditation.Additional... ...in key businesses projects.Conduct code reviews and provider manful feedback.Analyze software...HEDISTemporary workWork experience placementRemote workMonday to Friday- ...see how a conversation can turn into a long-lasting and rewarding career! Job Description Are you an experienced Chart Reviewer / QI Clerk / HEDIS Abstractor looking for a new opportunity with a prestigious healthcare company? Do you want the chance to advance your career...HEDISFull timePrivate practiceImmediate startWork from home
- ...Responsibilities: Develops, executes and coordinates annual HEDIS project plans in alignment with QAPI and Quality/Population Health... ..., and resource allocation with respect to HEDIS medical record review. Collects, assesses and interprets data related to HEDIS quality...HEDIS
SGS Consulting
Remotemore than 2 months ago $118.6k - $157.14k
...Department Leadership, the Data Engineer III is responsible for the design, planning and... ...latitude for independent judgment. Conduct code reviews. Direct and mentor some level I and II... ...goals including, but not limited to, HEDIS, CAHPS, and NCQA Accreditation. Additional...HEDISTemporary workRemote workMonday to FridayFlexible hours$135.2k - $179.13k
...incorporate IEHP’s Quality Program goals including, but not limited to, HEDIS, CAHPS, and NCQA Accreditation.Additional BenefitsPerksIEHP is... ...awareness and training for all stakeholders. Perform security review in technology products and solutions (including security tools...HEDISTemporary workRemote work- ...Responsibilities: ~ This position interprets relevant clinical criteria through review of medical records, annotates via Adobe PDF and populates a data collection tool to support compliance with HEDIS and CMS performance measures. Ensures accurate and complete documentation...HEDISRemote job
- ...Friday can be REMOTE) Summary The Document Controls Specialist III is responsible for carrying out the DC processes to support the... ...respective technical areas. Processing the latest version of a document (reviewed and/or ready for issuance) to ensure the latest approved...Contract workTemporary workFor contractorsWork at officeRemote workMonday to Friday
- ...Duties Help As a Investigative Analyst (Polygraph Examiner/Quality Reviewer), your typical work assignments may include: Developing and... ...CFR 533 Are not considered employees for purposes of subchapter III of chapter 83 or chapter 84 of title 5, United States Code. May...Full timePart timeInterim roleWork at officeRemote workTrial periodRelocation package
Drug Enforcement Administration
Oklahoma City, OK3 days ago - ...entities. Refers appropriate cases to the Medical Director for review. Refer to and work closely with Case Management to address member... ...services. Participate in committees and lead when required. Level III (in addition to Level II Accountabilities) Displays leadership...Contract workWork at officeRemote work
- ...validation of requirements traceability, testing activities, and change management processes.Responsibilities:Provide independent review and assessment of VLP and RIDP system modifications.Assess whether project requirements are traceable through design, development,...Remote work
$85.47k
...Assurance (NCQA) as a Patient Centered Medical Home (PCMH) level III. The Nurse Manager works in conjunction with Health Center Administrator... ...or hospitals Focus clinic efforts on quality measures, HEDIS, and Meaningful Use standards Provide annual MA trainings (...HEDISFull timeSeaMar Community Health Centers
Puyallup, WA4 days ago$74.96k
...Assurance (NCQA) as a Patient Centered Medical Home (PCMH) level III. The Nurse Manager works in conjunction with Health Center Administrator... ...efforts on patient satisfaction, clinical quality measures, HEDIS, and Meaningful Use standards. Provide annual MA trainings (...HEDISFull timeSea Mar Community Health Centers
Tacoma, WAa month ago$85.47k - $92.44k
...Assurance (NCQA) as a Patient Centered Medical Home (PCMH) level III. The Nurse Manager works in conjunction with Health Center Administrator... ...or hospitals Focus clinic efforts on quality measures, HEDIS, and Meaningful Use standards Provide annual MA trainings (...HEDISFull timeSeaMar Community Health Centers
Lakewood, WA5 days ago- About the Role Join our distributed team and help evaluate online platforms through interactive testing assignments. This is a flexible, remote opportunity with full training provided and no prior experience required. Reel Edge is a gambling technology company focused ...Remote workWork from homeFlexible hours
Reeledge
Noel, MO2 days ago $36.04 - $44.44 per hour
...Assurance (NCQA) as a Patient Centered Medical Home (PCMH) level III. The Nurse Manager works in conjunction with Health Center Administrator... ...or hospitals. Focus clinic efforts on quality measures, HEDIS, and Meaningful Use standards. Provide annual MA trainings (...HEDISHourly payFull timeSeaMar Community Health Centers
Aberdeen, WA4 days ago$25 per hour
About the Role Join our distributed team and help evaluate online platforms through interactive testing assignments. This is a flexible, remote opportunity with full training provided and no prior experience required. Reel Edge is a gambling technology company ...Remote workWork from homeFlexible hoursReeledge
Susquehanna, PA2 days ago- ...remote Quality Improvement Specialist will manage patient and provider panels, deliver performance insights, and drive improvements in HEDIS and Medicare Stars measures through education and collaboration. Key responsibilities Engage with providers to educate on quality...HEDISRemote work
Virtual Vocations Inc
United States3 days ago $125k - $160k
...the United States and its allies. The successful CORA Lead Team Reviewer will support mission needs, multi-domain assessment coverage, and... ...Required Certifications: Ability to obtain DoD 8140/8570 IAT III certification within 90 days of hire (CASP+, CISSP, CISA, CCNP Security...Full timeContract workTemporary workWork at officeLocal areaMonday to FridayWeekend workDay shiftAfternoon shiftTekSynap
Fort Belvoir, VA19 days ago
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to HEDIS Reviewer III. Be the first to apply!
