Adecco Group

HEDIS Reviewer II

Adecco Group

  • Date Posted

    Today

    New!
  • Remote Work Level

    100% Remote

  • Location

    Remote in NJ, Manchester Township, NJ

  • Job Schedule

    Full-Time

  • Salary

    $32 - $33 Hourly

  • Benefits

    Health Insurance Dental Insurance Vision Insurance Life Insurance Retirement Savings Disability Paid Holidays Paid Illness Leave

  • Categories

    AuditorData EntryHealthcare

  • Job Type

    Employee

  • Career Level

    Experienced

  • Travel Required

    Yes

  • Education Level

    We're sorry, the employer did not include education information for this job.

About the Role

Title: HEDIS Reviewer II -Must Reside in New Jersey

Location: NJ-Manchester Township; New Jersey

Remote

Job Description:

Adecco is currently assisting a National Pharmaceutical client for a Remote HEDIS Reviewers III in New Jersey.

Shift: MON-FRI 8AM-5PM

The anticipated wage for this position is between $32 and $33. Hourly wage may depend upon experience, education, geographic location and other factors.

  • 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 into the applicable software system ALL assigned abstracts

  • Prioritize and accurately complete tasks within established times

  • Identifying trends and documentation of areas for improvement

  • Maintaining project productivity levels while maintaining accuracy requirements for abstraction and data entry activities"

Requirements:

  • 1-3 years of experience auditing and abstracting medical records required

  • Candidate must commit to attend 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.

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

  • Excellent verbal and written communication skills – clear, concise and appropriate.

  • Conscientious problem solver, willing to learn, and take personal pride in their work performance/accuracy.

  • Exceptional attention to detail and excellent analytical, investigation, and problem-solving skills

  • Proven organizational and time management skills including the ability to meet required deadlines

  • Must keep all information collected in a safe, organized and confidential manner while maintaining confidentiality of PHI, HIPAA Privacy and Security Rules"

Workspace able to accommodate laptop and up to 2 monitors

Reliable internet connection

Private uninterrupted workspace to maintain HIPAA Privacy and Security Rules"

Must have flexibility to drive within their assigned geographic area; requiring reliable transportation.

Benefit offerings include medical, dental, vision, life insurance, short-term disability, additional voluntary benefits, EAP program, commuter benefits and 401K plan. Our program provides employees the flexibility to choose the type of coverage that meets their individual needs. Available paid leave may include Paid Sick Leave, where required by law; any other paid leave required by Federal, State, or local law; and Holiday pay upon meeting eligibility criteria.

Pay Details: $32.00 to $33.00 per hour

Benefit offerings available for our associates include medical, dental, vision, life insurance, short-term disability, additional voluntary benefits, EAP program, commuter benefits and a 401K plan. Our benefit offerings provide employees the flexibility to choose the type of coverage that meets their individual needs. In addition, our associates may be eligible for paid leave including Paid Sick Leave or any other paid leave required by Federal, State, or local law, as well as Holiday pay where applicable.

Equal Opportunity Employer/Veterans/Disabled

To read our Candidate Privacy Information Statement, which explains how we will use your information, please navigate to https://uat.adecco.com/en-us/candidate-privacy

The Company will consider qualified applicants with arrest and conviction records in accordance with federal, state, and local laws and/or security clearance requirements, including, as applicable:

  • The California Fair Chance Act

  • Los Angeles City Fair Chance Ordinance

  • Los Angeles County Fair Chance Ordinance for Employers

  • San Francisco Fair Chance Ordinance

Massachusetts Candidates Only: It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability.

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