JOB DESCRIPTION Job Description A-Line staffing is looking for multiple HEDIS Reviewers for a client that is looking to move fast for the right candidate! Description 4+ years of HEDIS Experience Medical Record Review (MRR) Abstractors MRR PROJECT The assignment will encompass medical record review, including data collection from provider offices and abstraction of those records utilizing NCQA HEDIS Technical specifications to optimize health plan HEDIS® scores. Medical record review also consists of abstraction from electronic medical records and/or abstraction from faxed/mailed medical records. Training will be provided prior to the start of the assignment. Duties Include

• Locate and review all assigned medical charts and perform abstraction of charts sent in by providers.
• Perform complete and accurate review of qualifying services and results into HEDIS® electronic database software and other duties as assigned.
• Conduct Non-Responder Calls to provider offices to request medical records.

Requirements

• Ability to read and interpret medical records
• Professional demeanor and good work ethic
• Ability to communicate information accurately, clearly, and as intended to management and co-workers
• Possess excellent communication skills; ability to interact with all levels of staff
• Conscientious problem solver, willing to learn, takes personal pride in their work performance/accuracy
• Familiarity with how to use a lap top computer, connect to the internet and VPN, as well as in the use of a USB flash drive, CD drive, copier, and scanner. A strong working knowledge of bolthires Office products needed, as well as basic computer skills. Secure home network required.
• Demonstrate ability to successfully prioritize and organize a high volume of work to meet deadlines
• Position is REMOTE
• Must be able to lift 25 lbs.
• Attend weekly and as needed department meetings Critical Requirements
• Successfully complete Medical Record Reviewer training and Inter-Rater Reliability Testing at 95%, as well as complete HEDIS software training and use software correctly to facilitate accurate reporting and ongoing progress of the annual HEDIS project
• Must commit to duration of the project – cannot take another job elsewhere and abandon the assignment
• Regular and reliable attendance and punctuality is an essential function of the position
• Must keep all information collected in a safe, organized and confidential manner
• Be able to work 40 hours/week, Monday – Friday
• Candidate must commit to a full 40-hour training week Apply To This Job Apply To This Job

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