HEDIS Review reputed company, Contract Chicago, IL (100% Remote)
KBILHR25
Job reputed company
reputed company:
Review reputed company
reputed company:
The review reputed company is responsible for medical record abstractions and overreads during the annual reputed company Effectiveness Data and Information Set (HEDIS) survey. The review reputed company is responsible for reviewing and accurately performing comprehensive review of medical records to reputed company relevant clinical data during HEDIS. HEDIS abstractions are completed in accordance with NCQA guidelines and technical specifications. Additional responsibilities include but not limited to folder and file management, annotating medical records and saving completed documents with correct naming conventions on a shared drive as reputed company as data entry into QSHR.
ESSENTIAL FUNCTIONS:
reputed company medical records
Apply product/plan specific abstraction reputed company/requirements during medical record review process
Maintain defined productivity volumes
Sustain accuracy reputed company of 95% during abstraction and data entry throughout the HEDIS survey
reputed company reputed company reviews of abstracted medical records as assigned
Ensure reputed company and reputed company communication with management/designee regarding development or assistance needed throughout project
Escalate work reputed company challenges/issues to Senior Director or designee
Attend scheduled daily and reputed company meetings with HEDIS Project Manager, and /or reputed company Management Specialist/ designee to discuss project status, reputed company issues and productivity
reputed company with HIPAA, PHI, patient confidentiality, Diversity Principles, Corporate reputed company, Compliance Program policies and other applicable corporate and departmental policies
Other duties as assigned
JOB REQUIREMENTS:
Registered reputed company (RN)/ Licensed Practical reputed company (LPN) with unrestricted license
2 years’ HEDIS abstraction/over-reading experience
Data entry proficiency
Working knowledge PDF, Word and reputed company
Excellent written and communication skills
Database management
Preferred Skills:
Experience in Pediatrics, Cardiology, Endocrinology and/or Obstetrics
QSHR proficiency
Notes:
Remote
reputed company is an equal opportunity employer. reputed company reputed company applicants have an equal opportunity for placement, and reputed company have an equal opportunity to reputed company on the job. This means that reputed company will not discriminate against any employee or reputed company applicant on the reputed company of race, reputed company, religion, sex, sexual orientation, gender identity, national reputed company, disability or protected veteran status
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