HEDIS Reviewer III - Must be based in Michigan

Job Description

Job Description

A-Line Staffing is now hiring a HEDIS Reviewer III Remote in Michigan . The HEDIS Reviewer III will be working for a Fortune 500 healthcare company and has career growth potential. This is a full-time, remote position based in Michigan .

If you are interested in this position, please apply directly to this job posting or email your resume to [email protected].

Compensation:

• The pay for this position is $40.97 per hour
• Benefits are available to full-time employees after 90 days of employment
• A 401(k) with a company match is available for full-time employees with 1 year of service on our eligibility dates

Highlights:

• This position is a contract assignment with potential to extend based on performance and business needs
• Schedule: Monday through Friday, 8am–5pm local time (January–May)
• Work from home in Michigan; may include limited onsite visits to provider offices (must live in or near Michigan )
• Training provided prior to the start of the assignment

Responsibilities:

• Participate in the collection and review of medical records to abstract clinical information for HEDIS quality reporting
• Review and interpret clinical criteria, annotate via Adobe PDF, and populate data collection tools to support compliance with HEDIS and CMS performance measures
• Complete assigned abstraction and data entry daily with accuracy and within established timelines
• Work with provider offices to schedule or confirm appointments and follow up on medical record submissions
• Identify trends and document areas for improvement
• Maintain productivity and accuracy levels while ensuring confidentiality of PHI in accordance with HIPAA Privacy and Security Rules
• Maintain safe, organized documentation of all collected information

Requirements:

• Minimum of 4 HEDIS seasons of experience auditing and abstracting medical records required
• Strong knowledge of medical terminology and the ability to read and interpret medical records
• Proficiency in Microsoft Word, Excel, Outlook, Adobe Reader, and database tools
• Must have private, uninterrupted workspace, reliable internet connection (wired via ethernet cable, not Wi-Fi), and space to accommodate a laptop and dual monitors
• Ability to lift up to 25 lbs and travel locally as needed (reliable transportation required)
• Must commit to attend all required training and conference calls for the duration of the project
• High attention to detail, strong analytical and problem-solving skills
• Excellent verbal and written communication skills
• Professional demeanor and strong work ethic

Education:

• High School Diploma or GED required (verifiable)

If you are interested in this position, please apply directly to this job posting or email your resume to [email protected].