Medical Record Reviewer

Medical Record Reviewer

somerville, massachusetts(remote)

$17.99 – $18 per hour

temporary

high school

shift: First

work hours: 8 AM – 4:30 PM

category office and administrative support occupations

reference AB_4126442

job details

Mass General Brigham is a Boston-based non-profit hospital and physicians network that includes Brigham and Women’s Hospital and Massachusetts General Hospital, two of the nation’s most prestigious teaching institutions. As a world-recognized leader in research, we are home to one of the largest hospital system-based research enterprises in the U.S.

The primary responsibility of this position will be managing the HEDIS medical records review project including coordination of medical records data collection and chart reviewing. This position will facilitate appropriate medical records data collection for the EQRO (External Quality Review Organization) auditing and all other medical records review, such as medical records document standards review and also facilitate collection of race/ethnicity and language data from PCP practice sites.

100% REMOTE – MUST be able to work Mon-Fri from 8am-4:30pm EST

Responsibilities

• Manages relationship with provider sites to collect data for HEDIS, EQRO, and NCQA data for various projects in AllWays Health Partners
• Accurately and efficiently conduct electronic record reviews
• Successfully complete required medical record reviewer training and Inter-Rater Reliability testing
• Communicate effectively and professionally with outside provider offices, clinics, and hospitals
• Participate in various medical record abstraction projects aimed at measuring outcomes in support of quality improvement projects

Requirements:

• High School Diploma
• HEDIS experience, Medical Review experience, Excel + Word.
• Ability to use HEDIS medical records review tool and to manipulate data in Excel and/or Access
• Junior or Senior call center experience
• strong computer skills, able to navigate variety of EMR systems
• Able to work independently, strong communication skills, detail oriented
• Able to manage multiple projects and meet strict deadline requirements

Skills

• Entering Data
• Data Entry
• Data Collection
• Basic Computer Skills
• HEDIS
• EMR
• Microsoft Office
• Excel
• Microsoft Excel
• Medical Records
• Medical Review
• Call Center
• Call Center Support

Qualifications

• Years of experience: 1 year
• Experience level: Entry Level