Remote HEDIS Reviewer II

Job Title: Remote HEDIS Reviewer II Pay: $30.63 an hr | Bi-weekly Job Type: Remote Shift Options: Monday - Friday, 8 hours a day, between the hours of 8am to 5pm local time Start date: 01/02/2025 Remote HEDIS Reviewer II Overview: 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 Remote HEDIS Reviewer II Qualifications: 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 Remote HEDIS Reviewer II Benefits: Benefits are available to full-time employees after 90 days of employment and include health, optical, dental, life, and short-term disability insurance. A 401(k) with a company match is available for full-time employees with 1 year of service on our eligibility dates. How to Apply: If you are interested in this position, please apply OR submit your resume to:Saw Hlaing | [email protected] | 412-790-5425 Apply Job!