hireops
HEDIS Over Reader Nurse - Remote - Contract
Austin, Texas, United States
Sponsorship not specifiedDetected 20 days ago
ExcelAuditingCommunication
About the role
- This is a contract assignment that will start right away and end on June 28th 2024 Remote in TX Must Live in TX SUMMARY DESCRIPTION: RN or LPN with clinical experience and will work under the supervision of the HEDIS Coordinator.
- They are a member of the medical record review team.
- HEDIS reviews are completed in accordance with NCQA guidelines and technical specifications.
Responsibilities
- Utilizes various software applications to support HEDIS operations by entering data and / or changing chase status for the identified chase(s).
- Maintains productivity level as determined by the HEDIS Coordinator/QI Department.
- Maintain compliance with all HIPPA and patient confidentiality requirements.
Nice to have
- Auditing experience preferred.
- Degree, Diploma or Certificate from a school of nursing with clinical experience.
- Licensed in the State of Illinois
- Data entry and/or typing experience.
- Clear and concise written and verbal communication skills.
- PC proficiency to include Word, Excel and Lotus Notes.
Benefits
- Accurately and efficiently over-read medical record abstractions performed by the HEDIS abstraction staff on a daily basis according to HEDIS specifications and company training guidelines.
- Identify and report abstraction errors and provide measure re-education with for the abstractor.
- 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.
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