HEDIS Reviewer

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Our retail pharmacy client is looking for multiple HEDIS Reviewers for a remote opportunity. You can be located anywhere in the U.S., but must be local to at least one of the client's locations.

Responsibilities

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

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

Requirements

0-3 seasons of experience auditing and abstracting medical records required

H.S. Diploma or equivalent

Must commit to attend all required training and conference calls assigned for 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

Why Should You Apply?

Excellent growth and advancement opportunities

As an equal opportunity employer, ICONMA provides an employment environment that supports and encourages the abilities of all persons without regard to race, color, religion, gender, sexual orientation, gender identity or express, ethnicity, national origin, age, disability status, political affiliation, genetics, marital status, protected veteran status, or any other characteristic protected by federal, state, or local laws.
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