HEDIS Practice Advisor
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At a glance
Requirements
Credentials this posting asks for.
Job overview
HealthcareSupport Staffing is hiring a HEDIS Practice Advisor. The HEDIS Practice Advisor will educate and advise provider practices on HEDIS measures, medical record documentation guidelines, and HEDIS ICD-9/CPT coding, ensuring compliance with NCQA requirements. This role involves collaborating with Provider Relations to enhance performance in Quality, Risk Adjustment, and Operations, and supporting quality improvement programs.
Key focus areas include Collects, summarizes and trends provider performance data, Collaborates with Provider Relations to improve provider performance in areas of Quality, Risk Adjustment, Operations, and Communicates with external data sources as needed to gather data necessary to measure identified outcomes.
Successful candidates bring Bachelor's In Healthcare Field, 2+ Years HEDIS Experience, and One Of: Certified Coding Specialist/LPN/LSW/LMHC/LMFT/HCQM/CHP/CPHQ. Important skills include HEDIS Measures, Medical Record Documentation Guidelines, HEDIS ICD-9/CPT Coding, and NCQA Requirements. Preferred (not required): Provider Performance Data Collection, Provider Performance Data Summarization, Provider Performance Data Trending, and Provider Relations Collaboration.
Skills & qualifications
Skills
Qualifications
Benefits
Full job description
Job Title: HEDIS Practice Advisor
Are you an experienced Healthcare Professional with HEDIS experience looking for a new opportunity with a prestigious healthcare company? Do you want the chance to advance your career by joining a rapidly growing company? If you answered “yes" to any of these questions – this is the position for you!
Position Summary:
As the HEDIS Practice Advisor, you would be responsible for advising and educating Provider practices in appropriate HEDIS measures, medical record documentation guidelines and HEDIS ICD-9/CPT coding in accordance with NCQA requirements.
Hours for this Position: Monday-Friday 8:00am-5:00pm (flexibility due to travel)
Advantages of this Opportunity:
- Competitive salary, negotiable based on experience
- Benefits offered, Medical, Dental, and Vision
- Fun and positive work environment
- Weekly deposit options
More Insight of Daily Responsibilities:
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Collects, summarizes and trends provider performance data
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Collaborates with Provider Relations to improve provider performance in areas of Quality, Risk Adjustment, Operations (claims and encounters)
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Communicates with external data sources as needed to gather data necessary to measure identified outcomes
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Supports quality improvement program studies and HEDIS as needed, requesting records from providers, maintaining databases, and researching to identify members' provider encounter history
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Participates in or coordinates with other department projects as needed
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Participates in and represents plan at community, health department, collaborative and other organizational meetings focusing on quality improvement, member education, and disparity programs, as assigned
What We Look For:
- Bachelor's Degree in Healthcare, Public Health, Nursing, Psychology, Health Administration, or related health field
- 2+ years of experience in HEDIS record collection and analytical review and/or Quality Improvement
- Licenses and Certifications can include:
- Certified Coding Specialist (CCS)
- Licensed Practical Nurse (LPN)
- Licensed Social Worker (LSW)
- Licensed Mental Health Counselor (LMHC)
- Licensed Marital and Family Therapist (LMFT)
- Health Care Quality and Management (HCQM)
- Certified Healthcare Professional (CHP)
- Certified Professional in Healthcare Quality (CPHQ)
Want More Information?
Interested in hearing more about this great opportunity? Reach out to Amanda Hammer at 407-636-7030x201 or click Apply.
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