hireops

hireops

HEDIS Review Nurse - Remote - Contract

Dallas, Texas, United States

Sponsorship not specifiedDetected 20 days ago
ComplianceProject ManagementExcelHIPAACommunication

About the role

  • The review nurse is responsible for reviewing and accurately performing comprehensive review of medical records to abstract relevant clinical data during HEDIS.
  • HEDIS abstractions are completed in accordance with NCQA guidelines and technical specifications.

Responsibilities

  • Maintain defined productivity volumes

Requirements

  • 2 years' HEDIS abstraction/over-reading experience
  • Data entry proficiency

Skills

  • Experience in Pediatrics, Cardiology, Endocrinology and/or Obstetrics
  • QSHR proficiency

Compensation

  • The review nurse is responsible for medical record abstractions and overreads during the annual Healthcare Effectiveness Data and Information Set (HEDIS) survey.

Benefits

  • Abstract medical records
  • Apply product/plan specific abstraction criteria/requirements during medical record review process
  • Perform quality reviews of abstracted medical records as assigned

This listing is sourced directly from hireops's careers page and normalized into a canonical job model.