HEDIS Reviewer III Job at SGS Consulting, Remote

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  • 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

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