HEDIS Abstractor - Medical Assistant
Company: The Judge Group
Location: Hartford
Posted on: May 9, 2022
Job Description:
Location: Hartford, CT Description: HEDIS Abstractor - Medical
Assistant This job will have the following responsibilities:
- 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. - -
- 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. -
- 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. -
- Reviews require data analysis and research within the Anthem
data systems. -
- 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. - Qualifications &
Requirements:
- 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. - -
- 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. -
- 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. Contact:
This job and many more are available through The Judge Group. Find
us on the web at
Keywords: The Judge Group, Hartford , HEDIS Abstractor - Medical Assistant, Healthcare , Hartford, Connecticut
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