HEDIS Reviewer II

This posting will have some pre-id candidates. List will be provided of those returners. We will reach out if candidates are needed to hire the difference.



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.



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.



Must commit to duration of the project with the understanding that work hours can be varied. Due to proprietary information, must inform employer if they are planning to accept employment with another company.



Please have your candidates fill out the quick questionnaire and return w/ answers.



Do you have anything that requires time off or would prevent you from working the above required schedule (January thru May)?

Please list 3 different Microsoft Office Suite Programs you have experience with and how many years you've worked in each one.

Are you able to connect the Healthcare provided laptop to your home internet modem via an ethernet cable connection? (Not thru a WiFi connections)

Do you have the reliable transportation to travel to a provider's office, if needed?

Are you able to carry equipment that weigh up to 20lbs?

Once you have cleared all compliance items in the hiring process please provide a professional looking photo to Stacie Doughty and Brandon Rennard via email following this criteria for photos:

-User will need to take a professional looking photo using a digital camera or phone.

-Please ensure that your head, from the shoulders up, is shown.

-Stand in front of a flat smooth solid coloraed wall (no photos in front of crowds or photos of a photo).

-No hats, hoods, or scarves are to be worn (unless for religious purposes only).

-Prescription glasses are fine; no sunglasses please.

-Nothing sitting on top of the head.

-Please save photo as a .JPG file and name the file First Name_Last Name

-Please email your photo (The photo cannot be a screenshot) to *** and ***.

- PLEASE NOTE: Temps that are return workers to our HEDIS Team may not need to supply a photo as we can use the previous years photo.



May be selected to do an onsite visit to a provider's office to collect medical records, only as needed.



Position Summary:



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.



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.



Must commit to duration of the project with the understanding that work hours can be varied. Due to proprietary information, must inform employer if they are planning to accept employment with another company.



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



Experience:



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



Education:



N/A