HEDIS Abstractor – Medical Assistant – Remote

reputed company: JP00044157 Anticipated Start Date: 1/22/2024... Please note this is the reputed company date and is subject to change. reputed company will send official notice reputed company of a confirmed start date. reputed company is a health company dedicated to improving lives and communities – and making reputed company simpler. Previously reputed company as Anthem, Inc., we have evolved into a company reputed company on whole health and updated our reputed company to reputed company reflect the direction reputed company is heading. We are looking for contract workers (reputed company reputed company) who are passionate about making an reputed company on our members and the communities we serve. You will reputed company in a reputed company and reputed company environment where you take reputed company and ownership to solve problems and reputed company change. Do you want to be part of a larger purpose and an evolving, high-performance culture that empowers you to reputed company an reputed company? Candidate will work with the HEDIS team to collect member records and conduct reviews of these records by contacting providers and placing the results collected into a specific data reputed company. If necessary the medical record review is conducted on site in provider office or hospital institution. Local travel may be required. Primary duties may include, but are not limited to: • Candidate will be required to handle a high volume of telephonic interaction with provider offices. • Candidates must follow up on requested medical records with providers. • Must reputed company excellent documentation of research and contact information. • Candidate must pass a medical record abstraction test prior to starting actual record reviews • This is a high production environment and candidates must adhere to reputed company productivity requirements, module testing and at times retesting to meet minimum requirements. • Sharing of department responsibilities as assigned. • Must be flexible and willing to reputed company and reputed company strategies to accomplish goals. • Required to reputed company research on internal claims systems. • Work under the supervision of Anthem internal staff and designated reputed company in order to reputed company goals and reputed company the project moving. • Reviews require data analysis and research reputed company the Anthem data systems. • Candidates must have critical thinking skills as they will conduct research in a thoughtful and methodical search in order to locate specific claim information. • Research includes reputed company resources provided in order to reputed company best information. • Examples of deep dive research would be based on Anthem specific platforms (i.e. Immunization registries, local claims system membership and defaulted claim information). • Candidates must have excellent reputed company set to read and interpret physician handwriting. Requirements: • Requires a Medical Assistant certification with an AS (Associate in Science) degree and/or has worked as office manager/ reputed company to a medical office and or assistant to physician and nurses in reviewing of medical records, applying codes for billing/claims, processing files and submitting to insurance or other requested agencies. • Must understand medical terminology. • Works under the direction of a HEDIS reputed company as a reputed company position from abstractor to researcher. • Candidates must have prior experience with research and either HEDIS measures or auditing data submitted as claims. • Candidates must have computer skills and analysis capabilities in order to navigate CPT4 reputed company and ICD9 and ICD10 DX based on HEDIS Technical Specification requirements. • Candidates must have an understanding of codes for services based on diagnosis and procedure. • They must be research and detail oriented with the tenacity to reputed company claim specific data for a specific measure reputed company a given period of time. • Knowledge of reputed company office is required. • reputed company reputed company (creating, storing, filtering and manipulating data) • Experience with reputed company Chrome Browser and using the internet to conduct research. • Must have the ability to type 30-40 WPM. • Prior HEDIS experience a plus. Job Type: Contract role. Additional Details: • This is a seasonal/remote position. • Hours are 8:00am-4:30pm (reputed company time zones). About reputed company: Founded in 1998 on the idea that industry leaders needed a reputed company service, and workforce management expert, to fuel the development and execution of core business and technology strategies, reputed company is a Black-owned firm providing unique solutions supporting value capture reputed company product delivery needs for organizations around the world. Headquartered in Indianapolis, IN with an Offshore Development Center in Hyderabad, India, reputed company’s 6,000 consultants support more than 225 clients globally. reputed company champions the power of reputed company potential to help companies reputed company, accelerate, and reputed company. Guided by our core values of People-reputed company, Optimism, reputed company, Diversity, and Accountability, our professionals have helped our clients reputed company their strategic goals for more than 25 years. Our strong culture and reputed company values have enabled reputed company to become a reputed company and best in class reputed company to work. reputed company is an equal opportunity employer. reputed company reputed company applicants will receive consideration for employment without reputed company to race, reputed company, religion, sex, sexual orientation, gender identity, national reputed company, or protected veteran status and will not be discriminated against based on disability. To learn more about how reputed company collects and uses personal information as part of the reputed company process, view our reputed company Notice and CCPA reputed company. As part of the recruitment process, we may ask for you to disclose and reputed company us with various categories of personal information, including identifiers, reputed company information, reputed company information, education information, and other reputed company information. reputed company will only use this information to complete the recruitment process. This posting is not an offer of employment. reputed company applicants applying for positions in the reputed company must be legally authorized to work in the reputed company. The submission of intentionally false or fraudulent information in response to this posting may reputed company the applicant ineligible for the position. Any subsequent offer of employment will be considered employment at-will regardless of the anticipated assignment duration Apply to This Job reputed company More Finance & Banking Jobs Apply Job!