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*HEDIS Reviewer III

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*HEDIS Reviewer III

  • Location:

    Illinois

  • Sector:

    MRS Medical

  • Job type:

    Temporary & Contract

  • Salary:

    Negotiable

  • Contact:

    Dominique John Parole

  • Contact email:

    dparole@medicalrecruitmentstrategies.com

  • Job ref:

    BBBH411161_1673881254

  • Published:

    12 days ago

  • Expiry date:

    2023-01-27

WORK FROM HOME!! Exciting Job Opportunity as a HEDIS REVIEWER III for CVS Health

We, at Medical Recruitment Strategies is in need of HEDIS Reviewer III (Remote, Contract)

Job Title: HEDIS Reviewer III

Job Location: Work from Home but candidates will potentially make onsite visits to provider offices within Illinois.

Training: 2 Weeks (Mon-Fri, 8:30AM-5PM)

Shift: Monday - Friday, 8AM - 4:30PM

Pay Rate: $35.89/HR

Job Period: January 30, 2023 - May 5, 2023


As a HEDIS Reviewer III, your key responsibilities would include but are not limited to:

  • Participates in the collection and review of medical records to abstract clinical information for HEDIS quality reporting.
  • 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.
  • 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.

Experience / Qualification required:

  • RN or LPN or LVN with at least 4 years of previous HEDIS Abstracting or Medical Records Abstracting experience.
  • Medical Terminology Knowledge is required
  • Ability to read and interpret medical records
  • 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
  • Must keep all information collected in a safe, organized and confidential manner while maintaining confidentiality of PHI, HIPAA Privacy and Security Rules.

Please submit your most recent resume together with time of availability and updated contact number for a brief interview. Thank you!