HEDIS Reviewer II Job at SGS Consulting, Remote

  • 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

EBSCO Industries Inc

Recreation Attendant Job at EBSCO Industries Inc

 ...in active development that includes luxurious private dining, recreation and retail amenities and experiences, vacation rentals and several...  ...Alys Beach Bike Shop is seeking a full-time Recreation Attendant. They would be responsible for performing all daily operations... 

Cornerstone Caregiving

Patient Care Technician (PCT) Job at Cornerstone Caregiving

 ...Advance Your Healthcare Career. Provide Exceptional Patient Care. Make a Difference Every Day. Cornerstone Caregiving is seeking compassionate, skilled, and dependable Patient Care Technicians (PCTs) to join our growing team serving clients throughout Hudson, New Port... 

Acestack

Android Developer Job at Acestack

 ...Job Title: Android Developer Location : Irving, TX Full Time Job Description Must Have Technical/Functional Skills 5-10 years overall; 4+ years of recent mobile application development. Strong hands-on Kotlin with knowledge of null safety... 

Confidential

Hotel Security Office Job at Confidential

Join Randstad Secure Pros and step into a crucial role where your professionalism, vigilance, and superior customer service are paramount...  ...professional Security Guard to join our growing team for a Hotel in San Francisco, CA. If you are a proactive problem-solver with... 

CRH

Quality Control Manager Job at CRH

 ...on Vimeo . Job Summary The Quality Manager is responsible for providing leadership and...  ...Leads and all employees by actively utilizing systems and processes that achieve an Employee Driven, Hazard Controlled environment. Holds self and quality techs accountable...