HEDIS Reviewer III - Must be based in Michigan
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]. Job Types: Full-time, Contract Pay: $40.97 per hour Expected hours: 40 per week Benefits: • Dental insurance • Health insurance • Life insurance • Vision insurance Work Location: Remote Apply tot his job