Pay Range: $49.77hr - $54.77hr
Job Overview:
Top Required Skills:
Purpose:
- The Clinical Medical Review Specialist, a professional with clinical experience, will report to the Clinical Support Supervisor for HEDIS and be part of the Quality Team. The main duties include chart retrieval, using proprietary tools and software to conduct thorough medical record reviews in line with NCQA specifications, retrieval follow-up, and escalating issues as needed. Main duties will be assigned according to experience, knowledge, skills, and abilities. This role requires extensive knowledge of HEDIS measures to accurately and expediently abstract medical records while adhering to HIPAA Privacy and Security standards.
- Additional tasks involve helping with EMR medical record retrieval for HEDIS, contacting provider offices to request or validate facility and provider contact information and record retrieval preference, and/or requesting medical records for the HEDIS project and supporting other needs within the Quality Department.
Responsibilities:
The Clinical Medical Review Specialist, a professional with clinical experience, will report to the Clinical Support Supervisor for HEDIS and be part of the Quality Team.
Benefits:
Our Benefits Include:
Disclaimer: Benefits eligibility, accrual rates, and usage limits may vary based on employment status, length of service, and work location. Paid Sick Leave is provided in strict accordance with applicable state and municipal mandates. Cynet Systems Inc. reserves the right to modify, amend, or terminate any benefit plans at any time in accordance with applicable laws.
About Cynet Systems
Founded in 2010 and headquartered in the Washington, DC metro area, Cynet Systems Inc. is a leading technology staffing and workforce solutions company serving Fortune 500 companies, government agencies, and enterprise organizations across the United States and Canada. We deliver agile, scalable talent solutions across IT, engineering, life sciences, clinical, and professional staffing, powered by a high-performing recruitment engine operating across North America and Asia.
As a nationally and locally certified Minority Business Enterprise (MBE), Cynet Systems is committed to helping organizations build high-performing teams while empowering professionals to grow rewarding careers. Our organization is certified to ISO 9001, ISO 14001, ISO 27001, and SOC 2 Type II standards, reflecting our commitment to quality, security, operational excellence, and customer success.
| Location | Columbia, MD |
| Job Type | Temporary, Contractor, Part-time |
| Salary | $49–$54 Per Hour |
| Headquarters | Columbia, MD, US |
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