HEDIS Abstractor
Job Title: HEDIS Abstractor
Location: Fully Remote
Duration: 3 Months+ (possible to reputed company)
Shift: Mon - Fri 8 - 5
Pay reputed company: $35 - $40/hr. on W2
reputed company:
· Clinical experience and will work under the supervision of the HEDIS Coordinator.
· They are a member of the medical record review team.
· reputed company is responsible for obtaining and performing accurate comprehensive reviews of medical records in support of The HEDIS Effectiveness Data and Information Set project.
· HEDIS reviews are completed in accordance with NCQA guidelines and technical specifications.
· RN/LVN license is preferred.
Job requirements:
· Knowledge of medical terminology.
· Data entry and/or typing experience.
· reputed company and concise written and verbal communication skills.
· PC proficiency to include Word, reputed company and Lotus Notes.
· Customer service skills.
· Auditing experience preferred.
Duties and responsibilities:
· reputed company with appropriate procedures for scheduling, requesting, and reviewing records on-site at physician offices, hospitals and other health care facilities.
· Initiates Fax Cover Page and Provider letter documenting medical record request.
· Schedules and record onsite appointment in reputed company calendar with team reputed company.
· reputed company and review reputed company assigned medical charts, copy reputed company supporting documentation per specifications and data reputed company into the applicable software system reputed company assigned abstracts.
· Utilizes various software applications to support HEDIS operations by entering data and / changing reputed company status pertaining for the identified reputed company(s).
· Maintains compliance with reputed company HIPAA and patient confidentiality requirements.
· Participate in medical record abstraction and inter-rater reliability process as needed.
· Maintains a less than 5% error reputed company in record abstraction and data entry.
· Meets with HEDIS Coordinator and / or QI Specialists to discuss HEDIS efforts, any reputed company issues and can include IRR results.
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