[Work From Home] Healthcare Consultant – Hedis II

Looking for a straightforward job? We’re hiring a Healthcare Consultant – Hedis II! Enjoy the freedom and flexibility of this Remote role. This position requires a strong and diverse skillset in relevant areas to drive success. The salary for this position is set at a competitive salary.

Job Details:

Job Title: HEDIS Reviewer II: remote…

Location: Remote (Onsite assistance will rarely be needed and will depend on the location the candidate is hired for.)

Duration: 1/02/2025 to 05/02/2025

Pay Range for role: $30.00 – $32.50 per hr. on W2

Schedule: Monday – Friday, 8 hours a day, between the hours of 8am to 5pm local time

Position Summary:
• Onsite assistance will rarely be needed and will depend on the location the candidate is hired for.
• 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 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 of required information to meet risk management, regulatory, and accreditation requirements. The candidate must be proficient with databases and with conducting 100% of work activities on the computer.
• Must commit to duration of the project with the understanding that work hours can be varied. Due to proprietary information, must inform employer if they are planning to accept employment with another company.
• Work from home position but may require a visit to a provider’s office in your location to collect medical records needed.

Duties:
• 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 into the applicable software system ALL assigned abstracts.
• Prioritize and accurately complete tasks within established times
• Identifying trends and documentation of areas for improvement
• Maintaining project productivity levels while maintaining accuracy requirements for abstraction and data entry activities

Experience:
• 0-3 seasons of experience auditing and abstracting medical records required
• Candidate must commit to attend 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.
• Computer savvy: Microsoft Word, Excel, email, and Adobe reader required. Know how to save a file to a folder.
• Excellent verbal and written communication skills – clear, concise and appropriate.
• Conscientious problem solver, willing to learn, and take personal pride in their work performance/accuracy.
• Exceptional attention to detail and excellent analytical, investigation, and problem-solving skills
• Proven organizational and time management skills including the ability to meet required deadlines
• Must keep all information collected in a safe, organized and confidential manner while maintaining confidentiality of PHI, HIPAA Privacy and Security Rules Apply Job!

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