HEDIS Reviewer III
Company: TBD
Location: Southfield
Posted on: January 12, 2021
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Job Description:
Description:LOCATION: Live IN or NEAR - Wayne County or Oakland
County or Mccolmb County (TRI-COUNTY area)Position Title: HEDIS
QUALITY ABSTRACTORHours: M-F 8-5SUMMARY DESCRIPTION:This position
abstracts data from an internal Case Management software, annotates
via medical record database and enters compliant data in a
collection tool to support HEDIS project. The candidate must be
proficient with databases and with conducting work activities on
the computer. In addition, candidate must be willing to travel to
provider offices to conduct medical record chart reviews to collect
medical records needed for HEDIS project.40 hours per week. The
position is home- based with travel to provider offices and a
reliable internet connection is required.DUTIES AND
RESPONSIBILITIES:? Demonstrate an in-depth understanding of HEDIS
measure specifications for data entry? Research, review and compare
claims to determine best pursuit for medical records? Maintain
agreed upon productivity levels throughout project? Accurately
enter the results of abstractions into databases? Utilize various
software applications (e.g., databases, Adobe PDF, Excel and Word)?
Travel to provider offices to collect medical recordsEDUCATION AND
EXPERIENCE:--- Minimum of 2 years of experience auditing and
abstracting medical records requiredKNOWLEDGE, SKILLS, AND
ABILITIES:--- Experience using case management software, databases,
and spreadsheet software--- Exceptional attention to detail and
excellent analytical, investigation, and problem-solving skills---
Working knowledge of Word and Excel and Adobe PDF--- Maintain a
less than 2% error rate in record abstraction and data entry
throughout project--- Produce organized, accurate, and
detail-oriented work--- Maintain confidentiality of PHI; HIPAA
Privacy and Security Rules--- Prioritize and accurately complete
tasks within established times--- Exceptional technical skills
includingDESIRABLE QUALIFICATIONS:--- Previous abstraction for
HEDIS/HEDIS like performance measuresWORK ENVIRONMENT:--- Workspace
to accommodate laptop and 2 monitors--- Reliable internet
connection--- Reliable transportation for travel to provider
offices and Aetna Location for computer setup/record drop off---
Private uninterrupted workspace to maintain HIPAA Privacy and
Security Rules--- Ability to maintain effective and cooperative
working relationship with othersJob
Requirements:Description:LOCATION: Live IN or NEAR - Wayne County
or Oakland County or Mccolmb County--(TRI-COUNTY area)Position
Title: HEDIS QUALITY ABSTRACTORHours: M-F 8-5SUMMARY
DESCRIPTION:This position abstracts data from an internal Case
Management software, annotates via medical record database and
enters compliant data in a collection tool to support HEDIS
project. The candidate must be proficient with databases and with
conducting work activities on the computer. In addition, candidate
must be willing to travel to provider offices to conduct medical
record chart reviews to collect medical records needed for HEDIS
project.40 hours per week. The position is home- based with travel
to provider offices and a reliable internet connection is
required.DUTIES AND RESPONSIBILITIES:? Demonstrate an in-depth
understanding of HEDIS measure specifications for data entry?
Research, review and compare claims to determine best pursuit for
medical records? Maintain agreed upon productivity levels
throughout project? Accurately enter the results of abstractions
into databases? Utilize various software applications (e.g.,
databases, Adobe PDF, Excel and Word)? Travel to provider offices
to collect medical recordsEDUCATION AND EXPERIENCE:--- Minimum of 2
years of experience auditing and abstracting medical records
requiredKNOWLEDGE, SKILLS, AND ABILITIES:--- Experience using case
management software, databases, and spreadsheet software---
Exceptional attention to detail and excellent analytical,
investigation, and problem-solving skills--- Working knowledge of
Word and Excel and Adobe PDF--- Maintain a less than 2% error rate
in record abstraction and data entry throughout project--- Produce
organized, accurate, and detail-oriented work--- Maintain
confidentiality of PHI; HIPAA Privacy and Security Rules---
Prioritize and accurately complete tasks within established
times--- Exceptional technical skills includingDESIRABLE
QUALIFICATIONS:--- Previous abstraction for HEDIS/HEDIS like
performance measuresWORK ENVIRONMENT:--- Workspace to accommodate
laptop and 2 monitors--- Reliable internet connection--- Reliable
transportation for travel to provider offices and Aetna Location
for computer setup/record drop off--- Private uninterrupted
workspace to maintain HIPAA Privacy and Security Rules--- Ability
to maintain effective and cooperative working relationship with
others
Keywords: TBD, Southfield , HEDIS Reviewer III, Other , Southfield, Michigan
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