Medical Record Review Specialist

4 weeks ago


Baltimore, Maryland, United States Ageatia Global Solutions Full time
Medical Record Review Specialist - HEDIS

We are seeking a detail-oriented Medical Record Review Specialist - HEDIS to join our team at Ageatia Global Solutions. In this role, you will be responsible for conducting thorough HEDIS overreads in line with NCQA guidelines. The ideal candidate will have 10 years of recent HEDIS abstractions/overreads experience in the payer/health insurance side of HEDIS or with a HEDIS vendor.

Key Responsibilities:
  • Accurately and efficiently over-read medical record abstractions performed by the HEDIS abstraction staff on a daily basis according to HEDIS specifications and company training guidelines.
  • Complete the over-read process in the Software Application, including comments if errors are found. Correct errors identified through over-read process, including a re-review of charts that may contain similar errors.
  • Identify and report abstraction errors and provide measure re-education with the abstractor.


Estimated Salary: $90,000 - $110,000 per year.

Requirements:
  • 10 years of recent HEDIS abstractions/overreads experience in the payer/health insurance side of HEDIS or with a HEDIS vendor.
  • Strong organizational skills, ability to prioritize responsibilities with attention to detail.


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