Advantmed · 6 hours ago

HEDIS Reviewer

United States

Contract

Remote

Entry, Mid Level

$20/hr - $27/hr

2+ years exp

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Electronic Health Record (EHR)Health Care

Growth Opportunities

No H1B

Hiring Manager

Vaishnavi Sharma

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Responsibilities

Responsible for reviewing medical records and transferring critical HEDIS data elements into a specified data entry portal to support HEDIS reporting and quality improvement.

Data entry into Advantmed proprietary software.

Maintain accuracy thresholds as set forth by Advantmed.

Comply with HIPAA Laws and regulations.

Attend self-paced recorded training within a defined timeframe and will last approx. six weeks for training of required measures.

Qualification

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HEDIS abstractionTRCPPCWCCMedical Coder CertificationLicensed NurseBPDGSD/HBDCOACISIMACCSEEDLSCCOLCPCRHITRHIALPNLVNRNData entryAdvantmed softwareHIPAA complianceWindows laptop/desktop

Required

Minimum of 2 years or 2 seasons of prior work experience in HEDIS abstraction/Review in any of these measures: BPD, CBP, GSD/HBD, COA, CIS, IMA, CCS, EED, LSC, COL, TRC, PPC or WCC.

Specifically looking for expertise in all sub-measures of these full HEDIS measures: TRC, PPC, WCC measures.

Medical Coder Certification: CPC, CCS, RHIT, RHIA through AAPC or AHIMA OR Licensed Nurse: LPN, LVN, RN with an active license.

The applicant must possess a Windows-based laptop or desktop computer and have access to a high-speed internet connection.

Candidates must complete a self-paced, recorded training program within a designated timeframe, covering key measures.

Post-training, candidates must be available to work between 6:00 am EST and 6:00 pm EST, with a minimum commitment of 4 hours per day and a maximum of 8 hours per day.