The Judge Group - Topeka, KS

posted 2 months ago

Full-time
Remote - Topeka, KS
Administrative and Support Services

About the position

The HEDIS Abstractor - Certified Medical Assistant position is a remote role focused on medical record retrieval and abstraction for the EMR Team. The role involves working with the HEDIS team to collect and review member records, ensuring accurate data entry into company databases. Candidates must demonstrate strong attention to detail, effective communication skills, and the ability to meet productivity goals in a high-volume environment.

Responsibilities

  • Complete medical record retrievals via remote access to provider EMR/EHR systems.
  • Abstract medical record information for entry into data tools.
  • Collect member records and conduct reviews by contacting providers.
  • Maintain excellent documentation of research and contact information.
  • Follow up on requested medical records with providers.
  • Perform research on internal claims systems and locate specific claim information.
  • Conduct data analysis and research within company data systems.
  • Share department responsibilities as assigned and develop strategies to accomplish goals.

Requirements

  • Certified Medical Assistant with an Associate in Science degree or equivalent experience in a medical office setting.
  • Experience in reviewing medical records and applying codes for billing/claims.
  • Understanding of medical terminology and HEDIS measures.
  • Prior experience with research and auditing data submitted as claims.
  • Computer skills and analysis capabilities to navigate CPT4 code and ICD9/ICD10 DX based on HEDIS Technical Specifications.
  • Basic Excel skills and typing speed of 30-40 WPM.
  • Ability to read and interpret physician handwriting.

Nice-to-haves

  • Prior HEDIS experience is a plus.
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