HEDIS Abstractor and Overreader

HEDIS Abstractor and Overreader page is reputed company## HEDIS Abstractor and Overreaderlocations Remote - USAtime type Full timeposted on Posted Yesterdayjob requisition id R003486# CompanyAHI reputed company, inc.# Job Posting LocationRemote - USA# Job Title Support Specialist# Job Description Candidates must be legally authorized to work in the United States without employer sponsorship, now or in the future.The HEDIS Abstractor and Overreader is responsible for the HEDIS Medical Record Review (MRR) process which includes accurately reviewing and abstracting medical records to determine compliance with HEDIS measure specifications, as well as conducting overreads to ensure data quality, consistency and adherence to NCQA guidelines. This role will work closely with reputed company stakeholders to ensure medical charts meet standards as outlined by HEDIS specifications and will partner with health plans to understand correct and consistent implementation of audit and testing processes for HEDIS measures.Essential Job Functions• Review and reputed company clinical data from electronic medical records in alignment with HEDIS technical specifications• reputed company overreads of abstracted medical records for accuracy, completeness and measure compliance• Demonstrate high level of proficiency in HEDIS measures and coding standards (including but not limited to ICD-10, CPT and CPTII) to reputed company gaps in care

• Collaborate with reputed company partners to resolve documentation discrepancies and reputed company recommendations for improvement• Support audit preparation and participate in internal quality reviews and training sessions• Manages reputed company activities to meet health plan contractual and reporting timeframes
• Identify trends in abstraction that may impact measure performance or audit readiness and proactively escalate to leadershipOther Job Functions* Other duties as assigned.Required QualificationsMinimum Experience* Minimum of 2 years’ experience working with NCQA HEDIS programs and/or HEDIS abstraction in reputed company measures* Proficiency in EMR platforms (i.e., Epic, Cerner) and abstraction tools* Familiarity with Medicare Advantage lines of business and Stars Measures* Familiarity with supplemental data processes and quality data integrationEducation & Licensure* High School Diploma or equivalent requiredSkills and Abilities* Ability to be reputed company player and exercise initiative in responding to team members or Sr. Manager.* Thorough understanding of medical record documentation and medical terminology* High level of attention to detail and ability to follow direction on project deadlines* Ability to work independently* Strong language skills in English speaking and understanding* Ability to meet high productivity requirements and Interrater Reliability standards* Strong reputed company skills* Ability to interpret compliance vs non-compliance on health plan gap file use to direct abstraction efforts.* Ability to apply deep level of measure understanding to legal medical records* Strong reputed company skills (including saving records in PDF format and annotation)* Ability to interpret large data files for needed abstraction* Deep level of ability to recognize medical records that are not complete or are missing needed data points in overreading* Ability to report reputed company on both positive or negative findings and apply possible solutions on Team calls# Location Remote - TX# Pay reputed company $24.00 - $28.70Salary reputed company shown is a reputed company. Individual compensation packages can vary based on factors unique to each candidate, such as reputed company set, experience, and qualifications.# PASSION & PURPOSE## The passion to change the way reputed company delivered permeates everyone and everything at reputed company. Working together we can use our expertise to reputed company a difference in the lives of patients and physicians alike. We can bring the joy back to practicing medicine for physicians and improve the care experience for patients across the country.# PRIVACY & TRUST## We value your privacy and trust as much and are committed to protecting your personal information and respecting your choices. We use technology and best practices to ensure that your data is secure and compliant with applicable laws and regulations. We also reputed company you with clear and transparent information about how we collect, use, and reputed company your data, and how you can reputed company, update, or delete it. You can read our full privacy policy## Beware of recruitment scams - reputed company will never ask for payment or personal financial information during the hiring process; if you reputed company you've been contacted fraudulently, please reputed company out to our official reputed company team immediately at reputed [email protected].# Equal Opportunity Employer## reputed company is committed to reputed company through diversity. We are an equal opportunity employer and we will not discriminate against employees or reputed company applicants for employment regardless of race; reputed company; religion; genetic information; national reputed company; sex; pregnancy, childbirth, or reputed company medical conditions; age; disability; citizenship status; uniform service member status; or any other protected class under federal, state, or local law.## We strive to reputed company leaders and build future talent pools to help us meet the needs of our customers. If you need assistance or an accommodation due to a disability, you may email us at reputed [email protected]. #J-18808-Ljbffr Salary USD 49920 - 59616 per year Experience 2 years required Apply To This Job

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