HEDIS Reviewer II Job at SGS Consulting, Remote

aThZRXpnazlJa0dBc0VYMHBlUmkvV3RrZkE9PQ==
  • SGS Consulting
  • Remote

Job Description

Job Responsibilities:

  • 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.

Skills:

  • Medical knowledge/terminology is required.
  • Knowledge of HEDIS and reviewing medical records is required.
  • Ability to read and interpret medical records.
  • Excellent verbal and written communication skills – clear, concise and appropriate.
  • Computer savvy: Microsoft Word, Excel, email, and Adobe reader (if applicable) required. Know how to save a file to a folder.

Education/Experience:

  • Verifiable High School Diploma or GED is required

Job Tags

Remote job

Similar Jobs

Sibanye-Stillwater

Senior Accountant Job at Sibanye-Stillwater

Full-time Onsite At Sibanye-Stillwater, every role supports our mission to operate safely, responsibly, and sustainably. We are seeking a Senior Accountant to support financial reporting, accounting operations, internal controls, and compliance activities across...

Domino's Franchise

Customer Service Rep - Short and late night shifts available Job at Domino's Franchise

 ...accuracy against quality standards. *Exhibit a sense of urgency when answering store phones or helping carryout customers. *Provide quality customer service to internal and external customers both over the phone and in person. *Speak and write clearly and accurately... 

Sunrise Senior Living

Wellness Nurse RN Job at Sunrise Senior Living

 ...current state/provincial license as a professional Registered Nurse (RN) Minimum of one (1) year experience in home health, assisted...  ...with the ability to learn new applications Ability to work weekends, evenings, and flexible hours to be available to our customers... 

VSSI LLC Staffing Services

Order Picker - Stand-Up Reach/Counterbalance Job at VSSI LLC Staffing Services

 ...hiring an experienced Order Picker to handle heavy products using stand-up reach and counterbalance equipment. Accuracy, safety, and pace are...  ...: Operate stand-up reach and counterbalance forklifts to pick and move heavy products. Use an RF scanner to locate... 

Lutheran Life Communities

Registered Nurse (RN) Job at Lutheran Life Communities

 ...Full-Time Night RN (Registered Nurse) Skilled Nursing 7:00pm7:00am | Full-Time Nights Pleasant View Skilled Nursing Community Pleasant View Skilled Nursing Community is hiring...  ...-being Conduct assessments, monitor health status, and contribute to individualized...