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Hedis Abstractor - Medical Assistant job in Indianapolis at The Judge Group

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Hedis Abstractor - Medical Assistant at The Judge Group

Hedis Abstractor - Medical Assistant

The Judge Group Indianapolis, IN Full Time
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Location: Indianapolis, IN
Description: REMOTE -WORK FROM HOME - Hedis Abstractor - Medical Assistant

  • 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. 
  • If necessary the medical record review is conducted on site in provider office or hospital institution.  
  • 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. 
  • Work under the supervision of internal staff and designated lead in order to achieve goals and keep the project moving. 
  • Reviews require data analysis and research within the company data systems. 
  • Candidates must have critical thinking skills as they will conduct research in a thoughtful and methodical search in order to locate specific claim information. 
  • Research includes all resources provided in order to find best information. 
  • Examples of deep dive research would be based on company specific platforms (i.e. Immunization registries, local claims system membership and defaulted claim information). 
  • 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. 

  • 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. 
  • Works under the direction of a HEDIS Lead as a crossover position from abstractor to researcher. 
  • 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. 
  • They must be research and detail oriented with the tenacity to find claim specific data for a specific measure within a given period of time. 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
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