Job Description

HEDIS Reviewer III job at SGS Consulting. Remote.

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

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