Medical Claims / Audit Analyst

Recruiter
Kforce Inc
Location
Dayton
Salary
Competitive
Posted
13 Jan 2018
Closes
14 Jan 2018
Job role
Audit
Contract type
Permanent
Hours
Full time
RESPONSIBILITIES: Kforce has a client that is seeking a Medical Claims / Audit Analyst in Dayton, Ohio (OH). Responsibilities: Handling a high volume of telephonic interaction with provider offices Following up on requested medical records with providers Keeping excellent documentation of research and contact information Assess vendor–delegated abstraction activities and compare results to HEDIS standards and / or custom or other measure set standards Review medical records and abstract data for HEDIS and other measure sets in compliance with standards Track and report on issues and outcomes related to abstractions and over–reads Communicate outcomes of abstraction and over–sight activities with