HEDIS Reviewer III Job at SGS Consulting, Remote

Q3JYWlA5NWhjVFRuOXkwempwWGNFVnMxdEE9PQ==
  • SGS Consulting
  • Remote

Job Description

Job Responsibilities:

  • Work from home in Michigan area. Position will potentially make onsite visits to provider offices therefore MUST live IN or NEAR Michigan.
  • 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 the applicable software system ALL assigned abstracts.
  • Prioritize and accurately complete tasks within established times
  • Identifying trends and documentation of areas for improvement
  • 4 or more seasons of experience auditing and abstracting medical records required
  • Candidate must commit to attending 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.

Skills:

  • Computer savvy: Microsoft Word, Excel, email, and Adobe reader required. Know how to save a file to a folder

Education/Experience:

  • High school diploma

Job Tags

Remote job, Live in, Work from home

Similar Jobs

Pryzm Dynamics Inc.

Markets Research Lead Job at Pryzm Dynamics Inc.

About Pryzm Pryzm is a startup revolutionizing government contracting, reshaping the way that companies and governments work together. Founded by alumni of top Defense and Artificial Intelligence firms (including Palantir and Lockheed Martin), backed by preeminent investors...

Russell Tobin

Customer Service Representative Job at Russell Tobin

 ...Specialists for an opportunity with a financial services firm in Blue Ash, OH This role offers structured training, hands-on experience, and strong potential for permanent placement based on performance. What We Offer ~$20/hour ~ Shift: Mon-Fri 8:30am-5... 

Piedmont Healthcare Inc.

Anesthesia Tech - Operating Room, Evenings Job at Piedmont Healthcare Inc.

 ...Location: Piedmont Fayette Hospital Shift: Days Status: Full-time Department: Operating RoomResponsibilities: Assists anesthesia providers and other health care members in providing care to the patient undergoing an operative invasive procedure. Prepares... 

Manpower

Bilingual Recruiter Job at Manpower

 ...serve, while doing the same for yourself! Build your career with Manpower, a ManpowerGroup company. Through regular, honest and...  ...Talent About Us Manpower is a global leader in contingent staffing and permanent recruitment. Through our expertise in talent resourcing... 

Advocates For A Healthy Community Inc.

Dental Assistant Job at Advocates For A Healthy Community Inc.

 ...contributions for qualified expenses. Dental and Vision Coverage: Dental...  ...also available. Employee Assistance Program (EAP): Free...  ...B and Tuberculosis (TB) as part of our commitment to maintaining...  ...Qualifications: One year experience, education may be substituted...