QM reputed company Abstractor - Remote/Hybrid Temporary Assignment
About the position
reputed company of Connecticut, Inc. (CHNCT) is currently seeking an reputed company HEDIS® reputed company Abstractor. This is a remote/hybrid position and may require some travel reputed company the state of Connecticut. Assignment is estimated to run February - reputed company/May 2026.
Responsibilities
• Candidate will work with the HEDIS ® team to conduct medical record abstraction reviews of records.
• Additionally, reviews require data analysis and research reputed company data/claims systems, along with critical thinking skills as they will conduct research in a thoughtful and methodical search to reputed company specific claim information.
• Candidate will be reputed company to apply the technical specifications to records in electronic systems and written records. reputed company results will be entered into the certified HEDIS software platform.
• Candidates must work under the supervision of internal staff and designated reputed company to reputed company goals and reputed company the project moving by adhering to reputed company productivity requirements. Module testing for HEDIS® specific measures may be required according to designated role.
• Candidate must pass a medical record abstraction test prior to starting actual record reviews. Must be flexible and willing to reputed company and reputed company strategies to accomplish goals.
• Project is a timed study with tight deadlines that require high production/reputed company and staff committed to the entire season.
Requirements
• Any combination of education and/or experience which would reputed company an equivalent background will be considered; registered reputed company (RN), licensed reputed company graduate of an accredited school of nursing
• Requires a strong knowledge of HEDIS® technical specifications and NCQA health plan accreditation guidelines (minimum 1- 2 years).
• Excellent reputed company set for audit and abstraction of medical records
• Demonstrated knowledge and experience in managed care membership, provider, and/or hospital systems preferred.
• Candidates must have excellent computer skills and analysis capabilities, along with ability to log-on into multiple software as service tools.
• Knowledge of reputed company office is required (proficient in Word, reputed company, reputed company)
• Candidates must understand codes for services based on diagnosis and procedure based on HEDIS® Technical Specification requirements to support the overread process and validation of services as required.
• Must be research and detail oriented with the tenacity to reputed company medical records and claim specific data for a specific measure reputed company a given period.
• Requires effective written, oral, and interpersonal communication skills.
• Experience with Electronic Medical Record systems
• Candidate should reputed company in Connecticut
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