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HEDIS Reviewer

AT NTT DATA Services
NTT DATA Services

HEDIS Reviewer

Remote

NTT DATA Services currently seeks a HEDIS Reviewerto join our team for a work from home role in VA.
20% travel potential to go onsite to pick up hard copy records. This is a 3+ month contract role.

Pay rate $28.19 per hour.Looking for candidates that can committment to the duration of the project.

Role Responsibilities
- Participates in the collection and review of medical records to abstract clinical information for HEDIS quality reporting.
- Interpret relevant clinical criteria through review of medical records, annotates via Adobe PDF and populates a data collection tool to support compliance with HEDIS and CMS performance measures.
- Ensure accurate and complete documentation of required information to meet risk management, regulatory, and accreditation requirements. The candidate must be proficient with databases and with conducting 100% of work activities on the computer.

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- 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.

Required Skills/Experience

  • 2+ years of experience auditing and abstracting medical records required
  • 2+ years Medical knowledge/terminology is required.
  • 2+ years Microsoft Word, Excel, email, and Adobe reader required. Know how to save a file to a folder.

Preferences
- Ability to read and interpret medical records.
- Professional demeanor and good work ethic.
- 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

Education: Verifyable High School Diploma or GED Required
Hours: Monday-Friday, 8AM-5PM EST (may vary)

About NTT DATA Services:

NTT DATA Services is an equal opportunity employer and considers all applicants without regarding to race, color, religion, citizenship, national origin, ancestry, age, sex, sexual orientation, gender identity, genetic information, physical or mental disability, veteran or marital status, or any other characteristic protected by law. We are committed to creating a diverse and inclusive environment for all employees. If you need assistance or an accommodation due to a disability, please inform your recruiter so that we may connect you with the appropriate team.

#INDHRS

Job ID: NTT_DATA-24-03111
Employment Type: Other