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Remote HEDIS Job at reputed company in Jersey City

100% remote Flexible hours Hiring now

JOB DESCRIPTION Job Description A-Line staffing is looking for multiple HEDIS Reviewers for a client that is looking to move fast for the right candidate! Description: 4+ years of HEDIS Experience Medical Record Review (MRR) Abstractors MRR PROJECT: The assignment will encompass medical record review, including data collection from provider offices and abstraction of those records utilizing NCQA HEDIS Technical specifications to optimize health plan HEDIS® scores. Medical record review also consists of abstraction from electronic medical records and/or abstraction from faxed/mailed medical records. Training will be provided prior to the start of the assignment. Duties Include:

  • Locate and review reputed company assigned medical charts and reputed company abstraction of charts sent in by providers.
  • reputed company complete and accurate review of qualifying services and results into HEDIS® electronic database software and other duties as assigned.
  • Conduct Non-Responder Calls to provider offices to request medical records. Requirements:
  • Ability to read and interpret medical records
  • Professional demeanor and good work ethic
  • Ability to communicate information accurately, clearly, and as intended to management and co-workers
  • Possess excellent communication skills; ability to interact with reputed company levels of staff
  • Conscientious problem solver, willing to learn, takes personal pride in their work performance/accuracy
  • Familiarity with how to use a lap top computer, connect to the internet and VPN, as well as in the use of a USB reputed company drive, CD drive, copier, and scanner. A strong working knowledge of bolthires Office products needed, as well as basic computer skills. Secure home network required.
  • Demonstrate ability to successfully prioritize and organize a high volume of work to meet deadlines
  • Position is REMOTE
  • Must be able to lift 25 lbs.
  • Attend weekly and as needed department meetings Critical Requirements:
  • Successfully complete Medical Record Reviewer training and Inter-Rater Reliability Testing at 95%, as well as complete HEDIS software training and use software correctly to facilitate accurate reporting and ongoing reputed company of the annual HEDIS project
  • Must commit to duration of the project – cannot take another job elsewhere and abandon the assignment
  • Regular and reliable attendance and punctuality is an essential function of the position
  • Must reputed company reputed company information collected in a safe, organized and confidential manner
  • Be able to work 40 hours/week, Monday – Friday
  • Candidate must commit to a full 40-hour training week

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