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HEDIS Medical Reviewer (Remote in CA))

Company: Wollborg Michelson Recruiting
Location: Irvine
Posted on: November 24, 2022

Job Description:

We are hiring for a HEDIS Medical Record Review Team with a Fortune 500 Healthcare Company!
$43-45/hour BOEMUST have 1-2 years of In-Season HEDIS support experienceContract until May 2022
Day to Day Responsibilities of this Position and Description of Project:This position will be in support of the HEDIS Medical Record Review (MRR) cycle. The individuals will work directly with HEDIS MRR Program Manager and other medical record reviewers to review medical records.

  • Primary responsibility will be to perform medical record review, & enter findings into abstraction tool (Inovalon QSHR) and to over read
  • Identify chase opportunities & track progress
  • Coordinate with Program Manager, and administrative staff to manage caseload for teams
  • Communicate with team members to effectively manage project assignment
    Preferred RN, LVN/LPN, Certified Medical Assistant or certified coder
    Preferred Inovalon QSHR, Adobe Standard, and Microsoft Office Suite (especially Microsoft Excel)Necessary to have 1-2 years minimum of in-season HEDIS Medical Record Review experience



    "Wollborg Michelson Recruiting does require all applicants to be able to provide proof that they are fully vaccinated from COVID prior to their start date, unless otherwise prohibited by law.""Wollborg Michelson Recruiting is an Equal Opportunity Employer and prohibits discrimination of any kind. We ensure job offers are made based of one's employment experience, skills, and qualifications, regardless of race, gender, ethnic origin, or any other classification protected by law. All applicants must furnish proper identification to prove their legal right to work in the US upon a job offer. We participate in E-Verify to confirm one's right to work in the US. Wollborg Michelson Recruiting does not provide sponsorship for an employment-based visa status."

Keywords: Wollborg Michelson Recruiting, Irvine , HEDIS Medical Reviewer (Remote in CA)), Healthcare , Irvine, California

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