Create a Job Alert.

Enter your email below to save this search and receive job recommendations for similar positions.
Thank you. We'll send jobs matching these to
You already suscribed to this job alert.
No Thanks
US
What job do you want?

HEDIS Abstractor - Medical Assistant job in Hartford at The Judge Group

Create Job Alert.

Get similar jobs sent to your email

Apply to this job.
Think you're the perfect candidate?
Apply Now

You’re being taken to an external site to apply.

Enter your email below to receive job recommendations for similar positions.
HEDIS Abstractor - Medical Assistant at The Judge Group

HEDIS Abstractor - Medical Assistant

The Judge Group Hartford, CT Full-Time
Apply Now

Create Job Alert.

Get similar jobs sent to your email

Location: Hartford, CT
Description: HEDIS Abstractor - Medical Assistant

This job will have the following responsibilities:
  • Candidate will work with the HEDIS team to collect member records and conduct reviews of these records by contacting providers and placing the results collected into a specific data base.  
  • Local travel may be required. 
  • This candidate will be required to handle a high volume of telephonic interaction with provider offices. Candidates must follow up on requested medical records with providers. 
  • Must keep excellent documentation of research and contact information. Candidate must pass a medical record abstraction test prior to starting actual record reviews. 
  • This is a high production environment and candidates must adhere to measured productivity requirements, module testing and at times retesting to meet minimum requirements. Sharing of department responsibilities as assigned. 
  • Must be flexible and willing to develop and share strategies to accomplish goals. 
  • Required to perform research on internal claims systems. 
  • Reviews require data analysis and research within the Anthem data systems. 
  • Candidates must have excellent skill set to read and interpret physician handwriting. Candidates must live within an acceptable commuting distance and reliable transportation is required. 
  • Work attire is professional casual. 

Qualifications & Requirements:
  • Requires a Medical Assistant certification with an AS (Associate in Science) degree and/or has worked as office manager/ admin to a medical office and or assistant to physician and nurses in reviewing of medical records, applying codes for billing/claims, processing files and submitting to insurance or other requested agencies. 
  • Must understand medical terminology.  
  • Candidates must have prior experience with research and either HEDIS measures or auditing data submitted as claims. Candidates must have computer skills and analysis capabilities in order to navigate CPT4 code and ICD9 and ICD10 DX based on HEDIS Technical Specification requirements. 
  • Candidates must have an understanding of codes for services based on diagnosis and procedure. 
  • Knowledge of Microsoft office is required. Requires effective written, oral, and interpersonal communication skills. 
  • Candidates must have basic Excel skills and must have the ability to type 30-40 WPM. Prior HEDIS experience a plus.

Contact: [ Link removed ] - Click here to apply to HEDIS Abstractor - Medical Assistant
This job and many more are available through The Judge Group. Find us on the web at [ Link removed ] - Click here to apply to HEDIS Abstractor - Medical Assistant
 

Recommended Skills

Medical Assistance
Documentation
Medical Terminology
Claims
Medical Records
Analysis
Apply to this job.
Think you're the perfect candidate?
Apply Now

Help us improve CareerBuilder by providing feedback about this job: Report this job

Report this Job

Once a job has been reported, we will investigate it further. If you require a response, submit your question or concern to our Trust and Site Security Team

Job ID: 684795

CareerBuilder TIP

For your privacy and protection, when applying to a job online, never give your social security number to a prospective employer, provide credit card or bank account information, or perform any sort of monetary transaction. Learn more.

By applying to a job using CareerBuilder you are agreeing to comply with and be subject to the CareerBuilder Terms and Conditions for use of our website. To use our website, you must agree with the Terms and Conditions and both meet and comply with their provisions.