Hedis Specialist
4 weeks ago
Looking for a Hedis Specialist with SPECIFIC experience
Pay: $32-$33/HR
Must have:
- Previous HEDIS medical record review or auditing of medical record experience highly desired (priority to candidate with this direct experience).
- Medical knowledge/terminology is required (MUST).
- Ability to read and interpret medical records (MUST).
Description:
• Collaborate and continuously coordinate with the HEDIS project team, to assure a successful outcome of the project and HEDIS Compliance Audit
• Conduct HEDIS-related research and medical record review
• Act as HEDIS liaison to providers at which reviews are performed
• Other duties as assigned
• Knowledge of HEDIS technical specifications, including but not limited to hybrid measure medical record data abstraction requirements
• An emphasis in Medicare or Medicaid/Medi-Cal managed care
Skills:
Hospital billing, Ambulatory, audit, managed care, medical charts, data abstraction
Additional Skills & Qualifications:
Knowledge of EMR systems with ability to navigate through records contained within them.
Computer savvy: Microsoft Word, Excel, email, and Adobe reader required. Know how to save a file to a folder.
Ability to maintain medical record review productivity average 40-60 records depending on the measure.
Certified Professional in Healthcare Quality (CPHQ)
About TEKsystems:We're partners in transformation. We help clients activate ideas and solutions to take advantage of a new world of opportunity. We are a team of 80,000 strong, working with over 6,000 clients, including 80% of the Fortune 500, across North America, Europe and Asia. As an industry leader in Full-Stack Technology Services, Talent Services, and real-world application, we work with progressive leaders to drive change. That's the power of true partnership. TEKsystems is an Allegis Group company.
The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.
-
Risk Adjustment Specialist
2 days ago
Santa Ana, United States Optum Full timeOptum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion,...
-
Risk Adjustment Specialist
2 days ago
SANTA ANA, United States Optum Full timeOptum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion,...
-
Risk Adjustment Specialist
7 days ago
Santa Ana, United States Optum Full timeOptum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion,...
-
Risk Adjustment Specialist
6 days ago
Santa Ana, United States Optum Full timeOptum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion,...
-
Risk Adjustment Specialist
19 hours ago
Santa Ana, United States Optum Full timeOptum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion,...
-
Optum | Risk Adjustment Specialist
2 days ago
santa ana, United States Optum Full timeOptum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion,...
-
Risk Adjustment Specialist
7 days ago
Santa Ana, CA, United States Optum Full timeOptum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion,...
