HEDIS Nurse - Seasonal
About the position
The HEDIS Nurse position is a temporary role focused on medical record review and compliance with HEDIS hybrid measures. The nurse will assist in the collection and review of medical records, provider outreach, and other project-related activities, ensuring high accuracy in abstraction and compliance with HIPAA regulations.
Responsibilities
?? Review medical records to determine compliant records.
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?? Meet daily abstraction goals and maintain a high abstraction accuracy percentage.
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?? Assist in the preparation and submission of medical records to the HEDIS vendor.
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?? Collaborate with healthcare providers to clarify and obtain necessary information.
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?? Coordinate and perform on-site medical record abstraction as needed.
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?? Identify difficult providers as well as those who readily send medical records.
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?? Maintain confidentiality and comply with HIPAA regulations.
Requirements
?? Active nursing license (RN or LPN).
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?? Minimum of 2 years experience with HEDIS Medical Record Review.
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?? In-depth knowledge of HEDIS hybrid measures.
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?? Ability to work effectively in a fast-paced environment.
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?? Excellent communication and interpersonal skills.
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?? Strong analytical and critical thinking skills.
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?? Proficient in electronic medical records (EMR) and case management systems.
Nice-to-haves
?? 1 year of experience with HEDIS (Preferred)
Benefits
?? Health insurance
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?? Dental insurance
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?? 401(k)
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?? Paid time off
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?? Vision insurance
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