HEDIS Reviewer III Job at SGS Consulting, Remote

azhJM3AvSEc0SGp4RWZrNVZOWXV0UTVHalE9PQ==
  • 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

Similar Jobs

Zwiesel Fortessa Americas LLC

Director of Customer Compliance & Operational Governance Job at Zwiesel Fortessa Americas LLC

 ...creativity, collaboration, and making a difference in the community. We are looking for an experienced Director of Customer Compliance & Operational Governance to lead our customer compliance program and ensure customer-specific requirements are successfully implemented... 

Somewhere

Data Entry Clerk Job at Somewhere

 ...This is a full-time remote role for a Data Entry Clerk at a growing US based company. You'll be responsible for accurately inputting and...  ...or similar roles High typing speed (ideally 50+ WPM ) with excellent accuracy Proficiency in tools such as Google Sheets ,... 

The Patriot Group

Truck Driver & Equipment Operator Job at The Patriot Group

 ...Overview: As a Truck Driver and Equipment Operator within our 3PL utility logistics operation, you play a key role in keeping our customers...  ...Follow all DOT regulations and maintain a clean, compliant driving record Conduct routine inspections and basic maintenance on... 

Wendy's Deters Co

Farm Manager Job at Wendy's Deters Co

We are seeking an experienced Farm Manager to oversee and manage daily operations on our farm located in Independence, KY. This role involves...  ..., organizational, and communication skills.* Ability to work outdoors in varying weather conditions.* Familiarity with budgeting... 

ReWorks Solutions

CAD Draughtsman Designer Job at ReWorks Solutions

 ...We are looking for an energetic, creative, and detail-oriented CAD Draughtsman Designer. This role will support our design and construction projects through technical drafting, space planning, and creative design. You will work closely with our existing design team on...