HEDIS Abstractor
Job Title: HEDIS Abstractor Location: Fully Remote Duration: 3 Months+ (possible to extend) Shift: Mon - Fri 8 - 5 Pay Rate: $35 - $40/hr. on W2 Description: · Clinical experience and will work under the supervision of the HEDIS Coordinator. · They are a member of the medical record review team. · The team 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. · Clear and concise written and verbal communication skills. · PC proficiency to include Word, Excel and Lotus Notes. · Customer service skills. · Auditing experience preferred. Duties and responsibilities: · Comply 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 share calendar with team lead. · Locate and review all assigned medical charts, copy all supporting documentation per specifications and data enter into the applicable software system ALL assigned abstracts. · Utilizes various software applications to support HEDIS operations by entering data and / changing chase status pertaining for the identified chase(s). · Maintains compliance with all HIPAA and patient confidentiality requirements. · Participate in medical record abstraction and inter-rater reliability process as needed. · Maintains a less than 5% error rate in record abstraction and data entry. · Meets with HEDIS Coordinator and / or QI Specialists to discuss HEDIS efforts, any open issues and can include IRR results. Apply tot his job