Talent.com
HEDIS Reviewer III - WV
HEDIS Reviewer III - WVVirtualVocations • Abilene, Texas, United States
No se aceptan más aplicaciones
HEDIS Reviewer III - WV

HEDIS Reviewer III - WV

VirtualVocations • Abilene, Texas, United States
Hace 6 días
Tipo de contrato
  • A tiempo completo
Descripción del trabajo

A company is looking for a HEDIS Reviewer III in West Virginia.

Key Responsibilities

Participates in the collection and review of medical records for HEDIS quality reporting

Ensures accurate documentation to meet risk management, regulatory, and accreditation requirements

Works with provider offices to schedule appointments and follow up on medical record submissions

Required Qualifications

High School Diploma or GED required

Medical knowledge / terminology is required

4 or more years of experience auditing and abstracting medical records required

Must live in or near West Virginia for potential onsite visits

Reliable internet connection and appropriate workspace for remote work

Crear una alerta de empleo para esta búsqueda

Reviewer • Abilene, Texas, United States

Ofertas relacionadas
New York Licensed Clinical Reviewer

New York Licensed Clinical Reviewer

VirtualVocations • Abilene, Texas, United States
A tiempo completo
A company is looking for a Clinical Review Clinician - Appeals.Key Responsibilities Performs clinical reviews to resolve and process appeals by analyzing medical records and clinical data Ensure...Mostrar más
Última actualización: hace más de 30 días
Texas Licensed Physician Auditor

Texas Licensed Physician Auditor

VirtualVocations • Abilene, Texas, United States
A tiempo completo
A company is looking for a Physician Compliance Auditor.Key Responsibilities Conduct audits of physician compliance and coding practices Provide education and training to healthcare providers re...Mostrar más
Última actualización: hace más de 30 días
Licensed Clinical Quality Specialist

Licensed Clinical Quality Specialist

VirtualVocations • Abilene, Texas, United States
A tiempo completo
A company is looking for a Clinical Quality Specialist to uphold and strengthen the quality of care within the organization. Key Responsibilities Collaborate with various teams to execute clinical...Mostrar más
Última actualización: hace más de 30 días
Certified Medical Coding Reviewer

Certified Medical Coding Reviewer

VirtualVocations • Abilene, Texas, United States
A tiempo completo
A company is looking for a Program Integrity Medical Coding Reviewer II, requiring CPC, RHIT, or RHIA certification.Key Responsibilities Review vendor audit activities and make claim payment deci...Mostrar más
Última actualización: hace 1 día
Texas Licensed Physician Reviewer

Texas Licensed Physician Reviewer

VirtualVocations • Abilene, Texas, United States
A tiempo completo
A company is looking for Board Certified Physician Reviewers in Internal Medicine / Allergy & Immunology with a Texas license. Key Responsibilities Review treatment requests and appeals for medical ...Mostrar más
Última actualización: hace 4 días
Hawaii Licensed Utilization Review Clinician

Hawaii Licensed Utilization Review Clinician

VirtualVocations • Abilene, Texas, United States
A tiempo completo
A company is looking for a Utilization Review Clinician - Behavioral Health.Key Responsibilities Evaluates treatment for mental health and substance abuse to ensure medical appropriateness Perfo...Mostrar más
Última actualización: hace 6 días
Certified Coding Specialist

Certified Coding Specialist

VirtualVocations • Abilene, Texas, United States
A tiempo completo
A company is looking for a Coding Specialist I - Facility Outpatient.Key Responsibilities Code and abstract primarily Emergency Department, Observation, and other outpatient records using ICD-10-...Mostrar más
Última actualización: hace más de 30 días
Acute Coding Subject Matter Expert

Acute Coding Subject Matter Expert

VirtualVocations • Abilene, Texas, United States
A tiempo completo
A company is looking for an Acute Coding Subject Matter Expert.Key Responsibilities : Oversee coding operations and ensure adherence to best practices and quality metrics Collaborate with various...Mostrar más
Última actualización: hace 5 días
Health Services Review Coordinator

Health Services Review Coordinator

VirtualVocations • Abilene, Texas, United States
A tiempo completo
A company is looking for a HS Review Coordinator II responsible for coordinating and supporting intake functions within the Utilization Management Department. Key Responsibilities Triage, research...Mostrar más
Última actualización: hace 5 días
HEDIS Coding Quality Auditor

HEDIS Coding Quality Auditor

VirtualVocations • Abilene, Texas, United States
A tiempo completo
A company is looking for a Coding Quality Auditor, HEDIS who will conduct clinical quality audits and data collection for quality improvement. Key Responsibilities Conduct clinical quality audits ...Mostrar más
Última actualización: hace 21 días
Epic HIM Certified Analyst

Epic HIM Certified Analyst

VirtualVocations • Abilene, Texas, United States
A tiempo completo
A company is looking for a Systems Management Analyst (EPIC) to work remotely.Key Responsibilities Liaise with stakeholders and vendors to analyze business problems and provide IT solutions Moni...Mostrar más
Última actualización: hace 4 días
California Licensed EMR Specialist

California Licensed EMR Specialist

VirtualVocations • Abilene, Texas, United States
A tiempo completo
A company is looking for an EMR Specialist.Key Responsibilities Manage the EMR system by resolving help desk tickets and technical issues Conduct user training and develop comprehensive EMR mate...Mostrar más
Última actualización: hace 5 días
Physician- VA Disability Exams

Physician- VA Disability Exams

Kelly Science, Engineering, Technology & Telecom • Novice, TX, US
A tiempo completo
Physicians needed to conduct Veteran Disability Evaluations (DBQs).Kelly Government Solutions is a strategic supplier and business partner to the federal government and its key suppliers.Kelly Gove...Mostrar más
Última actualización: hace 19 días • Oferta promocionada
Senior Healthcare Analyst

Senior Healthcare Analyst

VirtualVocations • Abilene, Texas, United States
A tiempo completo
A company is looking for a Senior Healthcare Analyst.Key Responsibilities Cultivate understanding of clinical content and use analytics to drive program effectiveness Build and maintain analytic...Mostrar más
Última actualización: hace más de 30 días
Inpatient Auditor

Inpatient Auditor

VirtualVocations • Abilene, Texas, United States
A tiempo completo
A company is looking for an Inpatient Auditor PRN.Key Responsibilities Perform inpatient facility coding audits and provide rationale for identified changes Stay updated on regulatory changes an...Mostrar más
Última actualización: hace 4 días
Remote Medical Coding Reviewer

Remote Medical Coding Reviewer

VirtualVocations • Abilene, Texas, United States
Teletrabajo
A tiempo completo
A company is looking for a Medical Coding Reviewer (DRG).Key Responsibilities Perform clinical and coding medical claim reviews to ensure compliance with coding practices Analyze provider billin...Mostrar más
Última actualización: hace más de 30 días
Pre-Certification Coordinator

Pre-Certification Coordinator

VirtualVocations • Abilene, Texas, United States
A tiempo completo
A company is looking for a Pre-Certification Coordinator I (Remote) in Pediatrics Central Administration.Key Responsibilities Initiates and facilitates the pre-determination process for insurance...Mostrar más
Última actualización: hace 22 días
CPC Certified ED Coder

CPC Certified ED Coder

VirtualVocations • Abilene, Texas, United States
A tiempo completo
A company is looking for a Coder ER.Key Responsibilities Abstract, code, sequence, and interpret clinical information from various medical records Assign correct principal and secondary diagnose...Mostrar más
Última actualización: hace 5 días