HEDIS Reviewer III Job at SGS Consulting, Remote

MGF1b2FpS3VuMzlkMzhhZkZSWEU1TWhGS0E9PQ==
  • SGS Consulting
  • Remote

Job Description

Job Responsibilities:

  • Work from home in Michigan area. Position will potentially make onsite visits to provider offices therefore MUST live IN or NEAR Michigan.
  • Complete assigned abstraction and data entry each day.
  • Work with provider offices as needed to schedule/confirm appointments, follow up on medical record submission, and provide patient rosters
  • Locate and review ALL assigned medical charts, perform abstraction, copy all supporting documentation per specifications and data enter the applicable software system ALL assigned abstracts.
  • Prioritize and accurately complete tasks within established times
  • Identifying trends and documentation of areas for improvement
  • 4 or more seasons of experience auditing and abstracting medical records required
  • Candidate must commit to attending all required training and conference calls assigned for the project.
  • Candidate must return all equipment that is supplied to them in good working condition and in a timely manner at the end of the project
  • Medical knowledge/terminology is required.
  • Ability to read and interpret medical records.
  • Professional demeanor and good work ethic.

Skills:

  • Computer savvy: Microsoft Word, Excel, email, and Adobe reader required. Know how to save a file to a folder

Education/Experience:

  • High school diploma

Job Tags

Remote job, Live in, Work from home

Similar Jobs

Children's National Hospital

Patient Care Technician Job at Children's National Hospital

 ...collaboration with the multidisciplinary health care delivery team, under the direction of the...  ...in maintaining a safe, clean, stocked patient care setting, assist staff members and...  ...and Certifications Patient Care Technician (CPCT) (Required) Basic Life Support for... 

TestHiring

Data Entry Clerk Job at TestHiring

 ...This is a remote position. Are you a meticulous and efficient individual with a keen eye for detail? We are seeking a dedicated Mid-Level Data Entry Clerk to join our dynamic team and play a crucial role in maintaining data accuracy and operational efficiency. This... 

Murata America

Intern, Software Engineer, AI/ML - Summer 2026 Job at Murata America

 ...models (LLMs) from sources such as OpenAI, Llama, and Gemini. The intern will support the creation of Agent frameworks that leverage...  ...Build software platforms for LLM integration including frontend, UI/UX design, and backend infrastructure. Agent Framework Creation... 

Benda Infotech

Entry Level AI / ML Engineer Job at Benda Infotech

 ...excited to announce an opportunity for an Entry-Level AI / Machine Learning Engineer to join...  ...will contribute to developing intelligent, data-driven solutions that enhance automation...  ...Bachelors degree in Computer Science, Data Science, Engineering, or a related... 

Hasbro

Sr. Graphic Designer/Vector Illustrator, D&D Franchise Job at Hasbro

 ...The D&D Franchise team is seeking a Sr. Graphic Designer/Vector Illustrator to help carry the creative vision of Dungeons & Dragons...  ...employees. Heres a look at what your benefits package may include: Medical, Dental & Vision Insurance, Paid Vacation Time & Holidays,...