π Remote, USA
π― Full-time
π Posted Recently
Job Description
A-Line Staffing is now hiring a HEDIS Reviewer III Remote in Michigan. The HEDIS Reviewer III will be working for a Fortune 500 healthcare company and has career growth potential. This is a full-time, remote position based in Michigan. If you are interested in this position, please apply directly to this job posting or email your resume to [email protected]. Compensation: β’ The pay for this position is $40.97 per hour β’ Benefits are available to full-time employees after 90 days of employment β’ A 401(k) with a company match is available for full-time employees with 1 year of service on our eligibility dates Highlights: β’ This position is a contract assignment with potential to extend based on performance and business needs β’ Schedule: Monday through Friday, 8amβ5pm local time (JanuaryβMay) β’ Work from home in Michigan; may include limited onsite visits to provider offices (must live in or near Michigan) β’ Training provided prior to the start of the assignment Responsibilities: β’ Participate in the collection and review of medical records to abstract clinical information for HEDIS quality reporting β’ Review and interpret clinical criteria, annotate via Adobe PDF, and populate data collection tools to support compliance with HEDIS and CMS performance measures β’ Complete assigned abstraction and data entry daily with accuracy and within established timelines β’ Work with provider offices to schedule or confirm appointments and follow up on medical record submissions β’ Identify trends and document areas for improvement β’ Maintain productivity and accuracy levels while ensuring confidentiality of PHI in accordance with HIPAA Privacy and Security Rules β’ Maintain safe, organized documentation of all collected information Requirements: β’ Minimum of 4 HEDIS seasons of experience auditing and abstracting medical records required β’ Strong knowledge of medical terminology and the ability to read and interpret medical records β’ Proficiency in Microsoft Word, Excel, Outlook, Adobe Reader, and database tools β’ Must have private, uninterrupted workspace, reliable internet connection (wired via ethernet cable, not Wi-Fi), and space to accommodate a laptop and dual monitors β’ Ability to lift up to 25 lbs and travel locally as needed (reliable transportation required) β’ Must commit to attend all required training and conference calls for the duration of the project β’ High attention to detail, strong analytical and problem-solving skills β’ Excellent verbal and written communication skills β’ Professional demeanor and strong work ethic Education: β’ High School Diploma or GED required (verifiable) If you are interested in this position, please apply directly to this job posting or email your resume to [email protected]. Job Types: Full-time, Contract Pay: $40.97 per hour Expected hours: 40 per week Benefits: β’ Dental insurance β’ Health insurance β’ Life insurance β’ Vision insurance Work Location: Remote Apply tot his job