Altegra Health
Medical Record Field Reviewer
DE - Wilmington

MEDICAL RECORD FIELD REVIEWER
The Company
Altegra Health, A Change Healthcare Company is a total solutions partner for healthcare data auditing and analytics. Altegra Health provides end-to-end solutions to help improve payment integrity data to support accreditation programs, and meet regulatory requirements. Altegra's nationwide network of registered nurses, certified coders and medical professionals acquire, audit, and analyze healthcare data for healthcare organizations. Altegra Health specializes in: CMS-HCC Risk Adjustment, HEDIS Medical Record Reviews, Accreditation and more.
REGARDING THE POSITION: 
 
The Project/Study the Field Reviewer would be hired is titled “HEDIS or PIA.”  HEDIS, Healthcare Effectiveness Data Information Set is a review “Report Card” for the Health Plans to ensure they are providing the quality care and services to the members they insure.  PIA, Payment Integrity Audit ensures that Health Plans are billing correctly through the Centers for Medicare Medicaid.
 
We hire RNs, LPNs, Certified Coders, RHIT or RHIA, Medical Assistants, Certified Nursing Assistants and other healthcare professionals to work as Medical Record Reviewers (Field Reviewers).  We also consider Medical Records Professionals that have a minimum of two (2) years hands on medical records experience, EMR/EHR experience a plus. 
 
Field Reviewers visit physicians' offices to retrieve and review specific requested documents from medical records.  A Field Reviewer Advocate is assigned to help plan daily activities and manage work flow. Altegra Health will schedule and confirm appointments to ensure efficiency.  Computer equipment is provided for scanning charts and transferring files to our secure file transfer site.  Help Desk assistance for both IT support and medical record retrieval support is available. We offer competitive wages, provide thorough training in the use of our technology, and HIPAA compliance training.
 
Summary of Duties and Responsibilities:
  • Visit physicians' offices to retrieve and review specific requested documents from medical records
  • Scan relevant components of the medical record to support reviews performed
  • Upload scanned medical records daily
  • Maintain communication lines with Altegra Health Advocate
  • Successfully complete required training, testing and quality assessments
  • Communicate effectively and professionally with care provider offices, clinics, hospitals, other clinical facilities (Must be willing to travel within a forty (40) mile radius)
  • Abide by all HIPAA and associated patient confidentiality requirements
  • Valid Driver's License & Auto Insurance
  • Availability of at least 24 hours per week during business hours; Monday-Friday 8am-5pm
  • Business attire required
This work is project based and is not considered to be full time permanent employment.
 
 

 

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