VIVA USA Inc. ยท 6 hours ago
HEDIS Reviewer
United States
Contract
Remote
New Grad, Entry Level
0+ years exp
Maximize your interview chancesConsultingInformation Technology
Hiring Manager
Sujitha S
Insider Connection @VIVA USA Inc.
Get 3x more responses when you reach out via email instead of LinkedIn.
Responsibilities
Participates in the review of member records for the abstraction and data entry of information to meet Performance Measures (HEDIS/CMS) quality reporting.
Locate and download appropriate documents from the case management system and interpret relevant measure criteria.
Annotate documentation via Adobe PDF and populate into a data collection tool to record compliance with HEDIS and CMS performance measure technical specifications.
Ensure all documentation of required information is accurate and complete.
Qualification
Find out how your skills align with this job's requirements. If anything seems off, you can easily click on the tags to select or unselect skills to reflect your actual expertise.
Required
0-3 years of experience auditing and/or abstracting medical records required
Excellent skills using Adobe/PDF to include commenting/annotating are required
Excellent skills and working knowledge using Microsoft Word, Excel, Outlook, Explorer (creating, saving files to folders)
Ability to follow directions with minimum errors
Ability to read and interpret technical specifications, procedures
Communicate in a clear, concise, and appropriate manner to all levels of staff
Positive attitude, willingness to learn, and personal pride in work performance
Exceptional attention to detail and excellent analytical, investigation, and problem-solving skills
Excellent organizational and time management skills
Prioritize and accurately complete tasks within established timeframes
Verifiable High School Diploma or GED Required
Preferred
Previous experience entering data using Inovalon/QMRM (QSHR) a plus
Nursing license preferred but not required
Successful HEDIS review experience may be substituted for licensure
Company
VIVA USA Inc.
VIVA USA Inc. (VIVA), certified Woman and Minority Owned, is a Technology and IT consulting company based in the greater Chicago area.
501-1000 employees
Funding
Current Stage
Late StageLeadership Team
Vinu Ilangovan
Chief Technology Officer
Company data provided by crunchbase
