HEDIS Project

Salary: neg / Yearly	Location: Minneapolis, MN
Type: Contractor	Postal Code: 55409

HEDIS Project

MEDICAL REVIEWER



Duties and Responsibilities:

-Perform accurate & comprehensive reviews of medical records.

-Schedule and maintain appointments with providers and clinics.

-Responsible for providing education and training to physician groups/offices on correct coding initiatives

-Auditing high volumes of medical records to ensure correct and appropriate code assignment

-Reporting on findings resulting from chart audits

-Ensuring accurate data entry for CMS submission

-Ensures policies and procedures are monitored and updated to include regulatory changes.

-Available for day and evening off-site and telephonic training/education.



Requirements:

-Previous HEDIS abstraction experience preferred

-High speed internet, cell phone, and reliable transportation is required

-Candidates must have strong Medical Terminology with experience in medical records, claims, coding, etc

-At least two years' of hospital inpatient / outpatient or medical office coding experience

-Some type of coding certification, which may include Certified Professional Coder (CPC), Certified Coding Specialist for Providers (CCS-P), Certified Coding Specialist for Hospitals (CCS-H), Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), or nursing medical background

-Extensive knowledge of ICD-9-CM and/or CPT coding principles and guidelines

-Familiarity with physician-specific regulations and polices related to documentation and coding

-Knowledgeable of Medicare Risk Adjustment

-Prior audit/quality experience

-Travel will be required for this position and person needs to be available for day and evening session and the ability to travel, both in and out of state, if needed.

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