Job Description

Our Client, a Real Estate and Financial Services company, is looking for HEDIS Reviewer II for their Remote/ TX location

• HEDIS Medical Record Review (MRR) Abstractor II
• 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. "
• Security Rules
• Workspace able to accommodate laptop and up to 2 monitors
• Reliable internet connection
• Private uninterrupted workspace to maintain HIPAA Privacy and Security Rules "
• Must have flexibility to drive within their assigned geographic area; requiring reliable transportation.
• Must be able to lift 25 lbs.
• Must dress in business casual attire and maintain a professional appearance.
• Working knowledge and experience may be required with the usage of hand-held scanners, iPods, flash drives and laptops (as applicable) in order to collect, save, rename, and transfer confidential information. "
• 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 "

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