Remote HEDIS Reviewer II

Job Title: Remote HEDIS Reviewer II

Pay: $30.63 an hr | Bi-weekly

Job Type: Remote

Shift Options: Monday - Friday, 8 hours a day, between the hours of 8am to 5pm local time

Start date: 01/02/2025

Remote HEDIS Reviewer II Overview:
• 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 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

Remote HEDIS Reviewer II Qualifications: • 0-3 seasons 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

Remote HEDIS Reviewer II Benefits:
• Benefits are available to full-time employees after 90 days of employment and include health, optical, dental, life, and short-term disability insurance.
• A 401(k) with a company match is available for full-time employees with 1 year of service on our eligibility dates.

How to Apply:

If you are interested in this position, please apply OR submit your resume to:Saw Hlaing | [email protected] | 412-790-5425

Apply Job!