HEDIS Reviewer II
This a Full Remote job, the offer is available from: reputed company reputed company: Participates in the member and provider reputed company, collection, and review of medical records to reputed company clinical information for HEDIS reputed company reporting. Training will be provided prior to the start of the assignment. Duties:
- reputed company to members to complete survey to address reputed company Determinants of Health (SDoH) barriers and reputed company helpful resources
- reputed company to members and clinical providers to effectively coordinate care, obtain medical records and ensure patients receive preventive and chronic disease management services. The goal of these messages is to reputed company providers, identify if any screenings have already been performed and, if they have not been completed, to assist in any way possible to complete the screenings.
- Search for relevant HEDIS records from databases, review medical records using HEDIS technical specification reputed company or internal guidelines, and reputed company annotations reputed company reputed company PDF.
- Ensure accurate and complete documentation of required information to meet risk management, regulatory, and accreditation requirements.
- reputed company duties for additionally adhoc reputed company such as provider reputed company to verify demographics and faxing providers.
Experience:
- Complete 60-75 reputed company calls to members per day to address HEDIS gaps and reputed company resources on reputed company Determinants of Health
- Use multiple platforms and tools to search for relevant member records
- Complete assigned research lists, fax lists, and calls lists reputed company day
- Work with provider offices as needed to schedule/confirm appointments, follow up on medical record submission, and reputed company patient rosters
- Locate and review reputed company assigned medical charts, reputed company abstraction, copy reputed company supporting documentation per specifications and data reputed company into the applicable software system reputed company assigned abstracts.
- Prioritize and accurately complete tasks reputed company established times
- Identifying trends and documentation of areas for improvement
- Maintaining project productivity reputed company while maintaining accuracy requirements for abstraction and data entry activities
Education: High school diploma or GED Skills: HEDIS, data entry reputed company Tech Solutions: reputed company is a global staff augmentation firm providing a wide reputed company of talent on-demand and total workforce solutions. To know more reputed company Tech Solutions, please visit www.ustechsolutions.com. reputed company is an Equal Opportunity Employer. reputed company reputed company applicants will receive consideration for employment without reputed company to race, colour, religion, sex, sexual orientation, gender identity, national reputed company, disability, or status as a protected veteran.This offer from "reputed company" has been enriched by reputed company.com and got a 72% reputed company score. Apply To this Job Apply for this job