Medical Record Reviewer Job at Amerit Consulting, Long Beach, CA

eDFVemxoQUJlNVc1TzFPS2VVS0FZaWhGbFE9PQ==
  • Amerit Consulting
  • Long Beach, CA

Job Description

About the job

Overview:

Our client, a provider of Health, Dental, Vision, Medicaid and Medicare Healthcare service plans in the state of California with 4.7 million members and $22.9 billion of annual revenues, seeks an accomplished HEDIS Medical Record Reviewer.

*** Candidate must be authorized to work in USA without requiring sponsorship ***

*** Candidate must be located in CA***

******************************************************************

  • Job Title: HEDIS Medical Record Reviewer.
  • Location: Remote (Long Beach, CA)
  • Duration: 2+ months

IMPORTANT:

  • Not looking for Zero HEDIS abstraction experience.
  • Work Schedule: start between 8:30am – 4:30am (must be approved by Manager). Will work 8 consecutive hours from start time (not including breaks).
  • 40 hours per week work.
  • Candidate MUST have high-speed wired internet connection. Wi-Fi / Wireless connections are not allowed.
  • Candidate MUST have a reliable home-office environment.

Description:

  • This position will be in support of the HEDIS Medical Record Review (MRR) cycle.
  • The individuals will work directly with HEDIS MRR Program Manager and other medical record reviewers to review medical record.
  • Primary responsibility will be to perform medical record review & enter findings into abstraction tool (Inovalon QSHR) and to over read.
  • Identify chase opportunities from the medical record.
  • Coordinate with Program Manager, and administrative staff to manage caseload for teams.
  • Communicate with team members to effectively manage project assignment.

Qualifications:

  • Previous HEDIS Abstraction experience.
  • Ability to maintain a high volume of abstractions.
  • Must be proficient in computers and conduct most/all work activities on computer only.
  • Required Testing: Post Interview Test – tests HEDIS measure proficiency.
  • Software Skills Required: Microsoft Outlook, Excel, and Adobe experience.

Nice to haves:

  • Previous overread experience.
  • Ability to read and navigate clinical medical records in looking for specifically sought information.

Job Tags

Remote job, Home office,

Similar Jobs

Siri InfoSolutions Inc

Correctional Phlebotomist - $18-20 per hour Job at Siri InfoSolutions Inc

Siri InfoSolutions Inc is seeking a local contract Correctional Phlebotomist for a local contract job in Wasco, California. Job Description & Requirements ~ Specialty: Phlebotomist ~ Discipline: Allied Health Professional ~ Duration: 14 weeks ~40 hours per...

LanceSoft

Travel LPN / LVN - Clinic - $1,700 per week - Urgently Hiring Job at LanceSoft

 ...LanceSoft is seeking a LPN / LVN Clinic for a travel job in Boston, Massachusetts. Job Description & Requirements ~ Specialty: Clinic ~ Discipline: LPN / LVN ~ Start Date: 04/14/2025~ Duration: 13 weeks ~40 hours per week ~ Shift: 8 hours, days ~ Employment... 

Diamond Peak Recruiting

Construction Project Manager - Life Science Projects Job at Diamond Peak Recruiting

 ...We are currently working with a well-established general contractor that is looking to add a Construction Project Manager to their team in the Orange County and Los Angeles area. This individual will play a key role in managing and delivering life science and commercial... 

AGG Legal Staffing

Litigation Secretary Job at AGG Legal Staffing

 ...attorneys Requirements ~5+ years of complex civil litigation experience as a legal secretary or as an administrative assistant in a law firm or legal department, ~ High school diploma or GED certificate; Associates or Bachelors degree preferred ~ Experience e-... 

Gpac

Construction Project Manager/Engineer Job at Gpac

 ...recruitment company, is partnered with a well-established company in the Commercial Construction industry. We are currently seeking a talented and experienced Project Engineer/Project Manager with Heavy Civil (Earthworks and Excavation) experience to join our client's team...