HEDIS Reviewer III Job at SGS Consulting, Remote

ZnVVV1FwV0VyYnlSaHZQU1JCRm9aUVFSMVE9PQ==
  • 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

Delta-T Group Inc.

School Social Worker Job at Delta-T Group Inc.

 ...independent contract opportunities. One of our clients is seeking a motivated professional to work as a School Licensed Social Worker in the Baltimore area. SUMMARY OF CLIENT'S DESCRIPTION OF THIS OPPORTUNITY * Serve on Student Support Teams of identified... 

Keystone Advisors

Events Marketing Coordinator Job at Keystone Advisors

 ...Advisors Overview Keystone Advisors is a full-service marketing company aligned with Top Health Insurance Carriers to...  ..., tenacity, & being a team player. Job Purpose The Event & Outreach Coordinator is responsible for planning and executing consumer-facing... 

Tata Consultancy Services

Data Engineer Job at Tata Consultancy Services

 ...Job Description Job Title : Data Engineer Experience Required - 6+ Years Must Have Technical/Functional Skills Understanding...  ...data-related risks and associated controls for key business processes. Risks relate to Record Retention, Data Quality, Data Movement,... 

Gainwell Technologies LLC

Utilization Review Nurse- Remote Job at Gainwell Technologies LLC

 ...values work-life balance, continuous learning, and career development. Summary We are seeking a skilled Utilization Review Nurse to conduct prior authorization, prospective, concurrent, and retrospective reviews for medical necessity and appropriateness of services... 

TMobile

Broadband Integrated Marketing Manager - Owned Media Job at TMobile

 ...At T-Mobile, we invest in YOU! Our Total Rewards Package ensures that employees get the same big love we give our customers. All team members receive a competitive base salary and compensation package - this is Total Rewards. Employees enjoy multiple wealth-building...