Talent.com
HEDIS Reviewer

HEDIS Reviewer

VirtualVocationsDetroit, Michigan, United States
job_description.job_card.variable_days_ago
serp_jobs.job_preview.job_type
  • serp_jobs.job_card.full_time
job_description.job_card.job_description

A company is looking for a HEDIS Reviewer.

Key Responsibilities

Audit information entered into the software system for abstraction, overreading, and data entry

Maintain project productivity levels while ensuring accuracy in abstraction and data entry

Identify and follow through with continuous quality / compliance opportunities and educate customers for compliance and satisfaction

Required Qualifications

5 or more seasons of HEDIS experience in reviewing medical records

RN / LVN with an associate or bachelor's degree preferred, but not required

Successful HEDIS review experience may substitute for licensure

Participation in the audit / overread of the medical record collection and review process for HEDIS quality reporting

serp_jobs.job_alerts.create_a_job

Reviewer • Detroit, Michigan, United States

Job_description.internal_linking.related_jobs
  • serp_jobs.job_card.promoted
Remote AI Task Reviewer – Flexible Hours, No Experience Needed

Remote AI Task Reviewer – Flexible Hours, No Experience Needed

RLDGFlat Rock, Michigan, United States
serp_jobs.filters.remote
serp_jobs.job_card.full_time
Join our distributed team as a Remote AI Task Reviewer and help improve AI systems by completing short, style online tasks. This is an easy-to-learn role with full training and ongoing support.No pr...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Medical Reviewer III

Medical Reviewer III

VirtualVocationsDetroit, Michigan, United States
serp_jobs.job_card.part_time
A company is looking for a Medical Reviewer III for a remote position.Key Responsibilities Provide medical review consultancy to support US Immunology Medical Affairs teams Ensure compliance wit...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
CDI Specialist 2nd Level Reviewer

CDI Specialist 2nd Level Reviewer

VirtualVocationsDetroit, Michigan, United States
serp_jobs.job_card.full_time
A company is looking for a Clinical Documentation Improvement Specialist 2nd Level Reviewer (Remote).Key Responsibilities Conduct detailed reviews of medical records and physician documentation f...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_day
  • serp_jobs.job_card.promoted
General Manager

General Manager

Stash VenturesNew Baltimore, MI, US
serp_jobs.job_card.full_time
At Stash Ventures we aren't just your run-of-the-mill cannabis company… Our mission is to grow a successful vertically integrated cannabis company in the Midwest region with a vision to ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Travel Nurse RN - Behavioral Health

Travel Nurse RN - Behavioral Health

First Connect HealthNew Baltimore, MI, US
serp_jobs.job_card.full_time
First Connect Health is seeking a travel nurse RN Behavioral Health for a travel nursing job in New Baltimore, Michigan.Job Description & Requirements. Behavioral Health / Psychiatric RN.Minimum...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
Auto Body Technician

Auto Body Technician

The Boyd GroupGrosse Ile, MI, US
serp_jobs.job_card.full_time
Company : Gerber Collision & Glass.WELCOME TO GERBER COLLISION & GLASS.Gerber Collision & Glass is one of the largest collision repair companies in North America.With $2+ billion in sale...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
Remote Medical Coding Reviewer

Remote Medical Coding Reviewer

VirtualVocationsDetroit, Michigan, United States
serp_jobs.filters.remote
serp_jobs.job_card.full_time
A company is looking for a Medical Coding Reviewer I.Key Responsibilities Perform clinical / coding medical claim review to ensure compliance with coding practices Analyze provider billing practic...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Tennessee Licensed Senior Medical Reviewer

Tennessee Licensed Senior Medical Reviewer

VirtualVocationsDetroit, Michigan, United States
serp_jobs.job_card.full_time
A company is looking for a Registered Nurse Senior Medical Reviewer (Medicare Part B).Key Responsibilities Lead and provide guidance to staff in specialty programs, medical review, and utilizatio...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_day
  • serp_jobs.job_card.promoted
Remote Sales Representative

Remote Sales Representative

Altig / AO Globe LifeAmherstburg, Ontario
serp_jobs.filters.remote
serp_jobs.job_card.full_time
If you’re passionate about making a difference and want to turn that passion into a fulfilling career, we want to hear from you. A Sales Representative plays a crucial role in driving business...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Medical Reviewer

Medical Reviewer

VirtualVocationsWarren, Michigan, United States
serp_jobs.job_card.full_time
A company is looking for a Medical Reviewer.Key Responsibilities Lead statistical programming activities for clinical safety data sets Oversee the creation and validation of SDTM, ADaM, and TLFs...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Virginia Licensed Lead Clinical Reviewer

Virginia Licensed Lead Clinical Reviewer

VirtualVocationsDetroit, Michigan, United States
serp_jobs.job_card.full_time
A company is looking for a Lead Clinical Reviewer to join their team.Key Responsibilities Review medical records against criteria to determine medical appropriateness Guide team members and supp...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_day
  • serp_jobs.job_card.promoted
Care Review Processor

Care Review Processor

VirtualVocationsWarren, Michigan, United States
serp_jobs.job_card.full_time
A company is looking for a Care Review Processor (Remote) PST Hours.Key Responsibilities Provides telephone, clerical, and data entry support for the care review team Handles authorization reque...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
  • serp_jobs.job_card.new
Care Team Manager

Care Team Manager

Beacon Specialized LivingNew Haven, MI, US
serp_jobs.job_card.full_time
Beacon is a successful and national private-equity backed behavioral health company providing residential-based services and supports to children and adults with Intellectual and Developmental Disa...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours
  • serp_jobs.job_card.promoted
Medical Review Contractor

Medical Review Contractor

VirtualVocationsWarren, Michigan, United States
serp_jobs.job_card.full_time
A company is looking for a Medical Review Contractor to serve as a liaison to cross-functional teams and incorporate current medical information into departmental resources.Key Responsibilities P...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_day
  • serp_jobs.job_card.promoted
Medical Bill Reviewer

Medical Bill Reviewer

VirtualVocationsWarren, Michigan, United States
serp_jobs.job_card.full_time
A company is looking for a Medical Bill Reviewer-100% remote (EST or CST time zone).Key Responsibilities Identify provider participation status when automated processes fail Apply PPO guidelines...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
Clinical Audit Analyst II - RN Licensed

Clinical Audit Analyst II - RN Licensed

VirtualVocationsDetroit, Michigan, United States
serp_jobs.job_card.full_time
A company is looking for a Clinical Government Audit Analyst & Appeal Specialist II (Remote).Key Responsibilities Conduct thorough analyses of denials and ensure accurate coding while identifying...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
Sales Rep (Work from home) - urgent hire!

Sales Rep (Work from home) - urgent hire!

Altig / AO Globe LifeAmherstburg, Ontario
serp_jobs.filters.remote
serp_jobs.job_card.full_time
If you’re passionate about making a difference and want to turn that passion into a fulfilling career, we want to hear from you. A Sales Representative plays a crucial role in driving business...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
HEDIS Clinical Quality Analyst

HEDIS Clinical Quality Analyst

VirtualVocationsDetroit, Michigan, United States
serp_jobs.job_card.full_time
A company is looking for a HEDIS Clinical Quality Analyst Sr to ensure compliance with quality reporting requirements and support quality improvement programs. Key Responsibilities Ensure Prospect...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days