HEDIS Medical Record Reviewer

Title: HEDIS Medical Record Reviewer

Mandatory skills:

HEDIS quality reporting

Description:

Position Summary:

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.

4 or more years of experience auditing and abstracting medical records required

Candidate must commit to attend all required training and conference calls assigned for the project.

Candidate must return all equipment that is supplied to them in good working condition and in a timely manner at the end of the project

Medical knowledge/terminology is required.

Ability to read and interpret medical records.

Professional demeanor and good work ethic.

Computer savvy: Microsoft Word, Excel, email, and Adobe reader required. Know how to save a file to a folder.

Excellent verbal and written communication skills – clear, concise and appropriate.

Conscientious problem solver, willing to learn, and take personal pride in their work performance/accuracy.

Exceptional attention to detail and excellent analytical, investigation, and problem-solving skills

Proven organizational and time management skills including the ability to meet required deadline

Must keep all information collected in a safe, organized and confidential manner while maintaining confidentiality of PHI, HIPAA Privacy and Security Rules

Workspace able to accommodate laptop and up to 2 monitors

Reliable internet connection

Private uninterrupted workspace to maintain HIPAA Privacy and Security Rules

Must have flexibility to drive within their assigned geographic area; requiring reliable transportation.

Must be able to lift 25 lbs.

Duties

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"

Notes:

Monday-Friday 8am-5pm

Fully remote (never coming onsite)

VIVA USA is an equal opportunity employer and is committed to maintaining a professional working environment that is free from discrimination and unlawful harassment. The Management, contractors, and staff of VIVA USA shall respect others without regard to race, sex, religion, age, color, creed, national or ethnic origin, physical, mental or sensory disability, marital status, sexual orientation, or status as a Vietnam-era, recently separated veteran, Active war time or campaign badge veteran, Armed forces service medal veteran, or disabled veteran. Please contact us at for any complaints, comments and suggestions.

Contact Details :

Account co-ordinator: Dinesh Kumar Udaya Kumar, Phone No: (847) 461-3640, Email: /

Account co-ordinator: Keerthana Bathrappan, Phone No: (847) 278-2460, Email:

VIVA USA INC.

3601 Algonquin Road, Suite 425

Rolling Meadows, IL 60008