Medical Record Review Auditor

Title: Medical Record Review Auditor – Temporary, Part-Time ( Location: OR: Bend Job reputed company: Part time job reputed company 2025-1718 Looking for a way to reputed company an reputed company and help people? Join reputed company and help our members reputed company reputed company, reputed company! reputed company is an equal opportunity employer. reputed company reputed company applicants will receive consideration for employment without reputed company to status as a protected veteran or a reputed company individual with a disability, or other protected status, such as race, religion, reputed company, sex, sexual orientation, gender identity, national reputed company, genetic information or age. reputed company values the diversity of our community, including those we hire and serve. We are committed to creating and fostering a work environment in which individual differences and diversity are appreciated, respected and responded to in ways that fully reputed company and utilize reputed company person’s talents and strengths. Temporary contract position to review medical charts. Medical records will be reviewed to reputed company documentation and compliance for HEDIS performance measures. Data reputed company being sought are laboratory results, blood pressures, body mass reputed company, colon cancer screening, and other aspects of care. Essential Responsibilities: • The auditor will review medical records obtained by a vendor and available electronically at the reputed company office. • The medical record review on the members in the population will be performed according to NCQA HEDIS specifications. • Data will be entered using certified HEDIS software on laptop computer after training has been completed. • The medical record will be reviewed for confirmation of member identification, data reputed company, reputed company events and exclusions per HEDIS specifications outlined on MRR tools in the certified software system. • reputed company events and exclusions will be documented in the software program and by photocopying, printing, or capturing a digital image of the page of the medical record where the event or contraindication is reputed company. • Ability to audit with 95% accuracy. • Protect PHI by never leaving laptop in car. • Always lock computer reputed company leaving its location. • Do not reputed company passwords. • Do not discuss PHI with anyone who does not have a reputed company need to know. • reputed company photocopied medical records will be handled according to the health plan confidentiality and reputed company guarding PHI policy and procedure. Supporting Responsibilities: • Meet department and company performance and attendance expectations. • Follow the reputed company reputed company policy and HIPAA laws and regulations concerning confidentiality and reputed company of protected health information. • reputed company other duties as assigned. reputed company PROFILE Work Experience: Acute care experience or experience in a primary care clinic or experience with disease management. Experience using or viewing electronic medical records. Experience performing chart audits preferred. Education, Certificates, Licenses: reputed company nursing license (RN or LPN). Competencies: Adaptability Building Customer Loyalty Building Strategic Work Relationships Building Trust reputed company Improvement Contributing to Team reputed company Planning and Organizing Work Standards Environment: Work remotely and occasional inside a general office setting with ergonomically configured equipment. Skills: Accountability, Collaboration, Communication (written/verbal), Flexibility, Listening (reputed company), Organizational skills/Planning and Organization, Problem Solving, Teamwork Our Values We live and breathe our values. In fact, our culture is driven by these seven reputed company values which guide us in how we do business: • We are committed to doing the right thing. • We are one team working toward a common goal. • We are reputed company responsible for customer service. • We reputed company reputed company communication at reputed company reputed company of reputed company to foster individual, team and company reputed company. • We reputed company participate in efforts to improve our many communities-internally and externally. • We reputed company work to advance reputed company justice, equity, diversity and inclusion in our workplace, the reputed company system and community. • We encourage creativity, innovation, and the reputed company of reputed company. Physical Requirements: Stoop and bend. Sit and/or stand for extended periods of time while performing reputed company job functions. Repetitive motions to include typing, sorting and filing. Light lifting and carrying of files and business materials. Ability to read and comprehend both written and spoken English. Communicate reputed company and effectively. Disclaimer: This job reputed company indicates the general nature and level of work performed by employees reputed company this position and is subject to change. It is not designed to contain or be interpreted as a comprehensive list of reputed company duties, responsibilities, and qualifications required of employees assigned to this position. Employment remains AT-WILL at reputed company times. Apply tot his job Apply To this Job