Olive Jobs
HealthcareSupport Staffing logo

HEDIS Nurse

HealthcareSupport Staffing

Mason, OHFull-time$25–38/hrPosted 10y agoVerified open 6 days ago
Evaluate my fit

Most applications go out cold — see where you stand first. No sign-up to start.

Don't just apply. Show up ready.

Olive works from this exact posting — no sign-up to start.

Evaluate your fitSee where you stand — strengths, gaps, and what to fix first.Get started →Tailor your résuméRewritten against this posting, with a diff of every change.Get started →Practice the interviewA voice mock interview built from this job description.Get started →

At a glance

Compensation
$25–38/hr
Location
Mason, OH
Schedule
Full-time
Work Authorization
Not specified

Requirements

Credentials this posting asks for.

Clear And Active RN Or LPN/LVN License In OH

Job overview

HealthcareSupport Staffing is hiring a HEDIS Nurse. The HEDIS Nurse will join the HEDIS team to collect and review member records by contacting providers and entering results into a database. This role involves research on internal claims systems, potential on-site medical record reviews, and high-volume telephonic interaction with provider offices. The candidate must follow up on medical record requests and maintain excellent documentation.

Key focus areas include Collect member records and conduct reviews by contacting providers, Place collected results into a specific database, and Perform research on internal claims systems.

Successful candidates bring Active RN or LPN/LVN License, Medical Record Abstraction Test, and Medical Record Review Experience. Important skills include HEDIS, Medical Record Review, Research, Telephonic Interaction, Follow Up, and Documentation.

Skills & qualifications

RequiredNice to have

Skills

HEDISMedical Record ReviewResearchTelephonic InteractionFollow UpDocumentationRead and Interpret Physician HandwritingCPT-4 CodingICD-9 CodingICD-10 CodingMedical TerminologyComputer SkillsMS OfficeExcelTyping 30-40 WPM

Qualifications

Medical Record Abstraction TestClear and Active RN or LPN/LVN License in OHPrior Medical Record Review ExperienceExperience With CPT-4, ICD-9, and ICD-10 Coding

Full job description

  • Candidate will work with the HEDIS team to collect member records and conduct reviews of these records by contacting providers and placing the results collected into a specific data base.

  • Required to perform research on internal claims systems.

  • If necessary the medical record review is conducted on site in provider office or hospital institution.

  • Local travel may be required.

  • This candidate will be required to handle a high volume of telephonic interaction with provider offices.

  • Candidates must follow up on requested medical records with providers.

  • Must keep excellent documentation of research and contact information.

  • Candidate must pass a medical record abstraction test prior to starting actual record reviews.

  • Candidates must have excellent skill set to read and interpret physician handwriting

  • Must clear and active RN or LPN/LVN license in the state of OH

  • Prior experience with medical record review

  • Experience with CPT-4, ICD-9, and ICD-10 coding

  • Strong understanding of medical terminology

  • Strong computer skills and must know MS Office products with emphasis on Excel knowledge

  • Ability to type 30-40 WPM

Hours for this Position:

5 days a week- 40 hours

this is an immediate 5 month contract

Pay Range: $25.00- 38.00

Interested in hearing more about this great opportunity? Please call and e-mail your resume to Steph Zymowski at 407-636-7030 x220 for immediate consideration.

You've read the whole posting — now see how you match it.

Evaluate my fit