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​HEDIS Abstractor - Medical Assistant (100% Remote Work)

BCforward Indianapolis, IN
  • Expired: 19 days ago. Applications are no longer accepted.

HEDIS Abstractor - Medical Assistant

Location: Remote (Work from Home)

Duration: 6 Months Contract

SUMMARY:

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. If necessary the medical record review is conducted on site in provider office or hospital institution. 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.

MAJOR DUTIES AND RESPONSIBILITIES

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. Work under the supervision of Anthem internal staff and designated lead in order to achieve goals and keep the project moving. Reviews require data analysis and research within the Anthem data systems. Candidates must have critical thinking skills as they will conduct research in a thoughtful and methodical search in order to locate specific claim information. Research includes all resources provided in order to find best information. Examples of deep dive research would be based on Anthem specific platforms (i.e. Immunization registries, local claims system membership and defaulted claim information). 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.

EDUCATION AND EXPERIENCE

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. Works under the direction of a HEDIS Lead as a crossover position from abstractor to researcher.

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.

They must be research and detail oriented with the tenacity to find claim specific data for a specific measure within a given period of time.

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.

BCforward

Why Work Here?

BCforward is a global IT consulting and workforce fulfillment firm that provides services and resourcing for leading businesses and governme

About BCforward BCforward began as an IT business solutions and staffing firm. Founded in 1998, BCforward has grown with our customers’ needs into a full-service personnel solutions organization. BCforward’s headquarters are in Indianapolis, Indiana and also operates delivery centers in 17 locations in North America as well as Hyderabad, India and Puerto Rico. We are currently the largest consulting firm and largest MBE certified firm headquartered in Indiana. With 14+ years of uninterrupted growth, the addition of two brands (Stafforward and PMforward) and a team of more than 1400 resources our teams deliver services for multiple industries from both public and private sectors. BCforward’s team of dedicated staffing professionals has placed thousands of talented people over the past decade, with retention rates that are consistently higher than the industry average. www.bcforward.com

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Indianapolis, IN
46204 USA

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