Remote HEDIS Specialist Overread- PPC / CCS
Remote HEDIS Specialist Overread- PPC / CCS
HealthCare Support is actively seeking a Remote HEDIS Specialist Overread- PPC / CCS to fill an opening with one of the largest healthcare organizations.
Daily Responsibilities for Remote HEDIS Specialist Overread- PPC / CCS:
- Performs provider/practitioner medical record reviews to verify clinical data elements for HEDIS® and HEDIS®-like measures abstracted by vendor, while meeting established production goals
- Maintains HIPAA standards and confidentiality of protected health information; reports critical incidents immediately
- Communicates questions and/or concerns to your Pod Manager or assigned Specialist, as appropriate, in a timely manner
- Attends team meetings to provide information relating to clinical reviews and compliance
- Successfully completes HEDIS® technical specification training and testing with a passing score of 95% or greater
- Successfully completes HEDIS® software training and uses software correctly
- Work hours: Monday – Friday 8:00am – 5:00pm EST
Required Qualifications for Remote HEDIS Specialist Overread- PPC / CCS:
- Three plus years HEDIS® / medical record review / MRRV experience
- Three plus years healthcare / health plan industry experience
- Experience with PPC and CCS Hedis measures
Benefits for Remote HEDIS Specialist Overread- PPC / CCS:
- Immediate enrollment in Health Insurance
- Dental Insurance
- Life Insurance
- Employee Assistance Program (EAP)
- Access to Investment Accounts
- Career and educational tools within our Ingenovis ACT (Advocacy) Program
Pay Details: $35.00 – $40.00 an hour
Interested in being considered?
If you are interested in applying to this position, please click Apply Now for immediate consideration.
For additional consideration, please email a copy of your resume to karla.ronquillo@healthcaresupport.com with your phone number, the job title and location, and our recruiters will reach out.
Healthcare Support Staffing, LLC is an equal employment opportunity employer and will consider all qualified applicants without regard to race, color, religion, disability, sex, sexual orientation, gender identity, national origin, protected veteran status, or any other characteristic protected by applicable local, state, or federal law.
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