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IL

HEDIS Reviewer II

ICONMA, LLC
  • 🇺🇸 United States
  • Remote
  • 10 hours ago
  • HEDIS
  • Microsoft Word
  • Excel
  • Adobe
  • HIPAA
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Our Client, a Retail Pharmacy company, is looking for a HEDIS Reviewer II for their Remote/MI location.
 
Responsibilities:
  • 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"
  • 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
  • Handle incoming calls from providers and voicemails
  • Rerouting Return Mail
 
Requirements:
  • "0-3  years 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"
  • Private uninterrupted workspace to maintain HIPAA Privacy and Security Rules"
  • 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.
 
Why Should You Apply?
  • Health Benefits
  • Referral Program
  • Excellent growth and advancement opportunities

HEDIS Reviewer II · ICONMA, LLC

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