1 HEDIS Data Retriever Job in Newtown, PA
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GLOBALFORCE-US.COM is Hiring a HEDIS Data Retriever Near Newtown, PA
Job Category: NonClinical
Nursing/Tech Job Title: HEDIS Data Reviewer
Nursing/Tech Job Title: HEDIS Data Reviewer
Duties: Under the direction of the Manager of Medical Record Review
Operations, the HEDIS Data Reviewer is responsible for performing medical
record abstraction and overread in support of Quality reporting (annual
Healthcare Effectiveness Data and Information Set (HEDIS) and State EQRO)
with duties including but not limited to the following:
• Coordination of the medical records identification process, collection
activities and review.
• Performing and applying structured auditing abstraction criteria to
medical records to determine compliance.
• Utilizing various software applications to support department
operations and accurately entering the results of chart audits into the
database.
• Developing and maintaining expertise in the requirements and parameters
of mandated HEDIS and State performance measures.
• Completing medical record review abstraction and overread and providing
feedback for medical records that do not meet the HEDIS or State Measure
Technical Specifications criteria within a live software environment.
• Providing clinical and administrative support to providers as directed.
• Maintaining productivity level of a minimum of chases/charts per
defined period according to policy.
• Maintaining an abstraction proficiency rate of 98% by correctly
reading, interpreting, and abstracting various components of the medical
record such as notes, consultations, medication forms, treatment plans,
health history, interval history, and past history.
• Assisting in the medical record collection process including making
phone calls, sending out faxes/letters or chart retrieval requests to
providers as assigned.
• Completing additional designated projects assigned and deemed as
necessary.
Skills: • Three to five years working with HEDIS data including chart
review/collection. HEDIS, QRS, or STARs experience. Knowledge of medical
terminology and basic charting to include diabetic labs, HPV testing,
preventive health screenings, immunization and well-care terminology for
children, adults and pregnant women.
• Understanding of current HEDIS Technical Specifications.
• Knowledgeable in the HEDIS audit process (PSV, CSV and MRRV).
• Proficiency in Excel, Word, Power Point and Outlook.
• Experience with medical record abstraction tool(s) and wiliness to
learn any medical record abstraction tool.
• Experience in the Pediatric, Maternity, Diabetic or Provider Office
Setting.
• Familiar with the Cancer Registry.
• Familiar with Bright Futures.
• Strong written and oral communication skills, critical thinking skills,
strong organizational skills.
• Able to think and work independently, effectively, and under pressure
of deadlines.
Keywords:
Education: LPN, CNS, APRN or RN preferred. Medical Record Professionals and
Coders with demonstrated expertise in HEDIS abstraction will be considered.
Skills and Experience:
Required Skills:
MEDICAL RECORDS
HEDIS
COLLECTION
CHARTING
AUDITING
Additional Skills:
ORGANIZATIONAL SKILLS
ADMINISTRATIVE SUPPORT
AUDIT
EXCEL
DATABASE
CNS
LPN
RN
PEDIATRIC
OPERATIONS
OFFICE MEDICAL
Languages:
English
Read
Write
Speak
Patents: No
Publications: No
Veteran Status: No
# of Positions: 4
Location:
Newtown Square, PA
3875 West Chester Pike,
Schedule:
Start Date: 12/18/2023
Estimated End Date: 03/22/2024
Hours Per Week: 40.00
Hours Per Day: 8.00
Interview Notes: Monday - Friday, 8:30 a.m. - 5 p.m.
Job Summary
JOB TYPE
Contractor
SALARY
$78k-98k (estimate)
POST DATE
11/11/2023
EXPIRATION DATE
05/13/2024
WEBSITE
docview.us.com
HEADQUARTERS
Lansing, MI
SIZE
<25
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