HEDIS Abstractor - Medical Assistant
BC Forward

Job Info

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HEDIS Abstractor - Medical Assistant
BCforward is currently seeking highly motivated HEDIS Abstractor - Medical Assistant for 100% Remote Opportunity!

Job Title: HEDIS Abstractor - Medical Assistant
Location: 100% Remote
Expected Duration: 4 months with strong possibility of extension

SUMMARY:

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. If necessary the medical record review is conducted on site in provider office or hospital institution. Local travel may be required. 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.

MAJOR DUTIES AND RESPONSIBILITIES

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 Client internal staff and designated lead in order to achieve goals and keep the project moving. Reviews require data analysis and research within the Client 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 Client 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. Candidates must live within an acceptable commuting distance and reliable transportation is required. Work attire is professional casual.

EDUCATION AND 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.

Please list required skill sets, experiences, or methodologies (technical or otherwise)

Candidates must adhere to measured productivity requirements, module testing and at times retesting to meet minimum requirements. Reviews require data analysis and research within the Client data systems. Candidates are required to have a strong understanding of medical records from multiple office settings, the skill set to read and interpret physician handwriting, and the fundamentals of EMR charting to be able to abstract data and/or identify additional opportunities of medical record collection for a specific member and HEDIS measure. Candidates must have critical thinking skills as they will conduct research in a thoughtful and methodical manner in order to locate pertinent information about the member/measure. Examples of deep dive research would be based on Client specific platforms (i.e. Immunization registries, local claims system, membership and defaulted claim information). HEDIS experience, working knowledge of Microsoft office, Outlook, MS Excel, and MS Word is required. Requires effective written, oral, and interpersonal communication skills. Prior HEDIS experience a plus.

What is your anticipated work schedule for this job posting?

Monday - Friday, 8 hours, day shift
Training is for 3 weeks. M-F 8:00am-5:00pm EST. Temps can be in any time zone. After training, temps may be able to work alternate scheduled based on time zones

Additional Job Description Details

Please ensure all candidates have computer skills. Productivity will be monitored. Please ensure candidates have computer skills, HEDIS experience

About BCforward:

BCforward began as an IT business solution and staffing firm. Founded in 1998, BCforward has grown with our customers' needs into a full-service personnel solution's organization. Headquartered in Indianapolis, Indiana, BCforward also operates numerous delivery centers across North America and India. We are currently the largest consulting firm and largest MBE certified firm in Indiana. Our uninterrupted growth has allowed BCforward to deliver uniquely configured IT staffing and project solutions for over the years of catering to our customers' specific needs. BCforward currently maintains a team of over 5000 global resources. With our additional brand, Stafforward, together we have the capabilities to deliver services for a variety of industries in both public and private sectors which allows us to address your most challenging needs.

www.BCforward.com

Interested candidates please send resume in Word format Please reference job code 152922 when responding to this ad.

Recommended Skills

• Claims
• Electronic Medical Record
• Medical Assistance
• Billing
• Healthcare Effectiveness Data And Information Set
• Documentation

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