Job Description

Job Description

Job Description

A-Line Staffing is now hiring a HEDIS Reviewer. This would be  full time / 40+ hours per week. Contract role

If you are interested in this HEDIS Reviewer Opportunity, please contact Jenise  at (586) 473-6098 or jnottage@alinestaffing.com

Hours:

· Monday-Friday, 8am to 5pm local time, 8 hours per day

Compensation:

• The pay for this position is $30.63 per hour
• Benefits are available to full-time employees after 90 days of employment
• A 401(k) with a company match is available for full-time employees with 1 year of service on our eligibility dates

Duties and Responsibilities:

• Outreach to members to complete survey to address Social Determinants of Health (SDoH) barriers and provide helpful resources
• Outreach to members and clinical providers to effectively coordinate care, obtain medical records and ensure patients receive preventive and chronic disease management services. The goal of these messages is to remind providers, identify if any screenings have already been performed and, if they have not been completed, to assist in any way possible to complete the screenings.
• Search for relevant HEDIS records from databases, review medical records using HEDIS technical specification criteria or internal guidelines, and make annotations via Adobe PDF.
• Ensure accurate and complete documentation of required information to meet risk management, regulatory, and accreditation requirements.
• Perform duties for additionally adhoc projects such as provider outreach to verify demographics and faxing providers.

Requirements:

• High school diploma or GED
• HEDIS abstracting experience 2 + years required

If you think this position is a good fit for you, please reach out to me - feel free to call Jenise at (586) 473-6098 , e-mail jnottage@alinestaffing.com or apply to this posting!

Job Type : Full-time, Contract

Pay: $30.63 per hour

Benefits:

• 401(k)
• Dental insurance
• Health insurance
• Paid time off
• Vision insurance

Schedule:

• Day shift - 8am to 5pm local time, 8 hours per day

Education:

• High school or equivalent (Required)

Experience:

• HEDIS: 2 years (Required)

Work Location: Remote

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