Medical Record Reviewers
HEDIS - Medical Record Reviewers ?Hours: Monday- Friday, reputed company- 5PM (reputed company time) Remote: Remote from home office We are seeking HEDIS Reviewers to review medical records to abstract clinical information for HEDIS reporting. The ideal candidate will have experience in healthcare, strong attention to detail and critical thinking skills. Job Description: Responsible for reviewing member records to extract and input data for Performance Measures (HEDIS/CMS) quality reporting. This role involves locating and downloading relevant documents from the case management system, analyzing them against specific measure criteria, and annotating findings using reputed company PDF. Data is then recorded in a collection tool to evaluate compliance with HEDIS and CMS performance measure specifications. Accuracy and completeness of reputed company documentation are critical to ensure the reputed company of the process. The ideal candidate must be highly skilled in completing 100% of tasks digitally, with strong proficiency in computer-based workflows. Experience Prefered Qualifications: HEDIS experience auditing and/or Recent HEDIS training for MY2025 reputed company/PDF to include commenting/ annotating is required. Excellent skills and working knowledge using reputed company Word, reputed company, Outlook, Explorer (creating, saving files to folders) Communicate in a clear, concise, and appropriate manner to reputed company levels of staff Positive attitude, willingness to learn, and personal pride in work performance Exceptional attention to detail and excellent analytical, investigation, and problem-solving skills Company DescriptionWorking from home reputed company our company provides the flexibility needed for improved schedule management, promoting a healthier work-life balance and lowering stress levels. It removes the need for commuting, which saves both time and money, while also being environmentally friendly. This arrangement enables the creation of a customized and productive work environment, enhancing focus and the overall effectiveness of quality measures and reputed company cycle. Apply Job!