HEDIS Reviewer

HEDIS Reviewer

  Not Disclosed

  Overland Park , KS (100% Remote)

  3.5 Months

  Not Disclosed

  Not Disclosed

  Pharmaceutical

  $19.31/hour - $24.31/hour

Job Description

HEDIS Reviewer II

This position interprets relevant clinical criteria through review of medical records, annotates via Adobe PDF and populates a data collection tool to support compliance with HEDIS and CMS performance measures. Ensures accurate and complete documentation of required information to meet risk management, regulatory, and accreditation requirements. The candidate must be proficient with databases and with conducting 100% of work activities on the computer.

"Participates in the collection and review of medical records to abstract clinical information for HEDIS quality reporting. Training will be provided prior to the start of the assignment.

Experience

0-3 years 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

Workspace able to accommodate laptop and up to 2 monitors
Reliable internet connection
Private uninterrupted workspace to maintain HIPAA Privacy and Security Rules
"Must have flexibility to drive within their assigned geographic area; requiring reliable transportation.
Must be able to lift 25 lbs.
Must dress in business casual attire and maintain a professional appearance.
Working knowledge and experience may be required with the usage of hand held scanners, iPods, flash drives and laptops (as applicable) in order to collect, save, rename, and transfer confidential information."


Duties
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"


Notes:
Monday-Friday, 8AM-5PM
Work from home in Kansas area. Position will potentially make onsite visits to provider offices therefore MUST live IN or NEAR Kansas.
VIVA is an equal opportunity employer. All qualified applicants have an equal opportunity for placement, and all employees have an equal opportunity to develop on the job. This means that VIVA will not discriminate against any employee or qualified applicant on the basis of race, color, religion, sex, sexual orientation, gender identity, national origin, disability or protected veteran status.