HEDIS Reviewer III

Company: TBD
Location: Southfield
Posted on: January 12, 2021

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