Title: HEDIS Reviewer III

Location: Remote

Duration: 4 Months

Hours: 8 hours a day 40 hours a week

Description:

Duties

• These positions are to assist with the Hybrid volume of medical records sent in by providers for review, interpretation of relevant clinical criteria and subsequent data entry.

• The data is utilized to determine STAR ratings for Aetna.

  Experience

• "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"

  Education

• RN/LVN with an associate or bachelor''s degree is preferred but not required. Successful HEDIS review experience may be substituted for licensure

  Job Type: Contract

  Salary: $35.00 - $40.00 per hour

  Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Employee assistance program
• Health insurance
• Life insurance
• Vision insurance

  Schedule:

• 8 hour shift
• Day shift
• Weekend availability

  Experience:

• HEDIS Abstractor: 5 years (Preferred)
• HEDIS reviewer: 5 years (Preferred)

  Work Location: Remote