HEDIS Reviewer II

Title: HEDIS Reviewer II
Location: Fully Remote
Duration: 6 Months

QUESTIONNAIRE FOR TOP OF RESUME
Is the name listed on your resumes your legal name and spelt correctly, if not please provide that name?
What is your current address (including the Apartment unit # and info if applicable)? Suppliers make sure this matches in Fieldglass
Do you have an alternate phone number to what is already on your resume?
Are you able to work Monday thru Friday, 8 am to 5 pm your local time (January thru May) without interruption?
Do you have anything that requires time off or would prevent you from working the above required schedule (January thru May)?
Please list 3 different Microsoft Office Suite Programs you have experience with and how many years you've worked in each one.
Are you able to connect the Healthcare provided laptop to your home internet modem via an ethernet cable connection? (Not thru a WiFi connections)
Do you have the reliable transportation to travel to a provider's office, if needed?
Are you able to carry equipment that weigh up to 20lbs?

Responsibilities:

• Participates in the collection and review of medical records to abstract clinical information for HEDIS quality reporting. Training will be provided prior to the start of the assignment.
• This position interprets relevant clinical criteria through review of medical records, annotates via Adobe PDF and populates a data collection tool to support compliance with HEDIS and CMS performance measures.
• Ensures accurate and complete documentation of required information to meet risk management, regulatory, and accreditation requirements.
• The candidate must be proficient with databases and with conducting 100% of work activities on the computer.
• Must commit to duration of the project with the understanding that work hours can be varied. Due to proprietary information, must inform employer if they are planning to accept employment with another company.

Education:

High School