HEDIS Abstractor - Medical Assistant
The Judge Group Inc.

Los Angeles, California


Location: REMOTE
Description:
Judge Healthcare is seeking 5 REMOTE HEDIS Abstractor- Medical Assistant ASAP!

Job Details:

Title: Remote Hedis Abstractor - Medical Assistant

Number of Openings: 5

Location: Remote

Type of Engagement: Contract (6 months)

Rate: Competitive and Dependent on Experience

Specific Duties:

  • Candidate will work with the HEDIS team to collect member records and conduct reviews of these records by contacting providers and placing the results collected into a specific data base.
  • This candidate will be required to handle a high volume of telephonic interaction with provider offices.
  • Candidates must follow up on requested medical records with providers. Must keep excellent documentation of research and contact information.
  • Candidate must pass a medical record abstraction test prior to starting actual record reviews.
  • This is a high production environment and candidates must adhere to measured productivity requirements, module testing and at times retesting to meet minimum requirements.
  • Sharing of department responsibilities as assigned.
  • Must be flexible and willing to develop and share strategies to accomplish goals.
  • Required to perform research on internal claims systems.
  • Work under the supervision of internal staff and designated lead in order to achieve goals and keep the project moving.
  • Reviews require data analysis and research within the data systems.
  • Candidates must have critical thinking skills as they will conduct research in a thoughtful and methodical search in order to locate specific claim information.
  • Research includes all resources provided in order to find best information.
  • Examples of deep dive research would be based on specific platforms (i.e. Immunization registries, local claims system membership and defaulted claim information).
  • Candidates must have excellent skill set to read and interpret physician handwriting.

Must have qualifications/experience:
  • Requires a Medical Assistant certification with an AS (Associate in Science) degree and/or has worked as office manager/ admin to a medical office and or assistant to physician and nurses in reviewing of medical records, applying codes for billing/claims, processing files and submitting to insurance or other requested agencies.
  • Must understand medical terminology.
  • Works under the direction of a HEDIS Lead as a crossover position from abstractor to researcher.
  • Candidates must have prior experience with research and either HEDIS measures or auditing data submitted as claims.
  • Candidates must have computer skills and analysis capabilities in order to navigate CPT4 code and ICD9 and ICD10 DX based on HEDIS Technical Specification requirements.
  • Candidates must have an understanding of codes for services based on diagnosis and procedure.
  • They must be research and detail oriented with the tenacity to find claim specific data for a specific measure within a given period of time.
  • Knowledge of Microsoft office is required. Requires effective written, oral, and interpersonal communication skills.
  • Candidates must have basic Excel skills and must have the ability to type 30-40 WPM.
  • Prior HEDIS experience a plus.

Hours:
  • Regular business hours M-Fri 8-5

Please send your resume to Dominique DeMarco - DDeMarco2@judge.com for immediate consideration.

Thank you for your time and I look forward to hearing from and working with you.

Regards,

Dominique DeMarco

Recruiter

The Judge Group
Contact: ddemarco2@judge.com

This job and many more are available through The Judge Group. Find us on the web at www.judge.com


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