HEDIS Auditor - Texas, Multiple States, USA

Remote

Contracted

Experienced

DRCC is currently seeking HEDIS Reviewers to work REMOTE FROM HOME

Various, Multiple States, Texas, United States of America

This job will have the following responsibilities: (supplmentart data)

Retrieve and review specific requested documentation from medical records.
Scan relevant components of the medical record to support reviews performed and upload all scanned medical records daily
Maintain lines of communication with the assigned clinical lead, project coordinator and project manager
Successfully complete required training, testing and quality assessments
Communicate effectively and professionally with office managers, health systems and any other facility or care providers
Schedule and confirm all appointments based on your independent assignment for efficiency
Abide by all HIPAA and Independence patient confidentiality requirements

Qualifications & Requirements:

Chart auditing/abstraction experience with HEDIS
Experience scheduling office appointments and traveling to physician offices, experience working for Health plans required.
Flexibility to travel to areas when needed.
EMR/EHR experience.
Must have moderate knowledge of how to use a laptop computer and smart phone.
Computer equipment, encrypted zip drives and mobile phones is provided for uploading, transferring and scanning files to our secure file transfer site.

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Do you hold any certifications? If so, please list.*

Do you hold a professional certification as a Certified Medical Record Reviewer™ (CMRR™) or Certified Healthcare Record Reviewer? (CMRR or CHRR credentials through AIMRRA).* YesNo

Do you hold a coder certification as a CPC, CCS-P or CRC (credentials through AHIMA/AAPC)?* YesNo

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HEDIS Auditor - Texas, Multiple States, USA

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