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HEDIS Retriever

HealthcareSupport Staffing

Spring Hill, FLFull-timeNo compensation foundPosted 10y agoVerified open 6 days ago

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At a glance

Compensation
No compensation found
Location
Spring Hill, FL
Schedule
Full-time
Work Authorization
Not specified

Requirements

Credentials this posting asks for.

RNLPNMedical CoderMedical Records Specialist

Job overview

HealthcareSupport Staffing is hiring a HEDIS Retriever. The HEDIS Retriever collects data for medical record reviews and compliance with preventive health and chronic disease outcome improvement interventions. This role prepares reports and quality improvement studies, conducts internal auditing for regulatory compliance, and communicates with external data sources to gather necessary data. The retriever also summarizes performance data and identifies opportunities for provider improvement.

Key focus areas include Collects data for ambulatory medical record reviews and compliance with provider preventive health and chronic disease outcome improvement interventions, Prepares reports and quality improvement studies in an accurate, concise and timely fashion, and Conducts internal auditing for compliance with regulatory and accreditation standards.

Successful candidates bring RN/LPN/Medical Coder/Records Specialist, 3+ Years HEDIS Auditing Experience, and Managed Care Experience. Important skills include HEDIS Measurements, HEDIS Auditing, and Managed Care.

Skills & qualifications

RequiredNice to have

Skills

HEDIS MeasurementsHEDIS AuditingManaged Care

Qualifications

RNLPNMedical CoderMedical Records Specialist3+ Years HEDIS Measurements and HEDIS Auditing Experience

Benefits

Medical Insurance
Dental Insurance
Vision Insurance

Full job description

Daily Responsibilities:

  • Collects data for ambulatory medical record reviews and compliance with provider preventive health and chronic disease outcome improvement interventions

  • Prepares reports and quality improvement studies in an accurate, concise and timely fashion

  • Conducts internal auditing for compliance with regulatory and accreditation standards, and monitors and provides consultation to departments to correct deficiencies

  • Communicates with external data sources as needed to gather data necessary to measure identified outcomes

  • Collects and summarizes performance data and identifies opportunities for provider improvement

  • Participates in site visit preparation and execution by regulatory and accreditation agencies (State agencies, CMS, AAAHC, URAC, NCQA,EQRO)

Hours for this Position:

  • Monday-Friday daytime hours

Advantages of this Opportunity:

  • Competitive salary, negotiable based on relevant experience
  • Benefits offered, Medical, Dental, and Vision
  • Fun and positive work environment

Requirements:

  • Must be RN, LPN, Medical Coder, or Medical Records Specialist
  • 3+ years of experience with HEDIS measurements and HEDIS auditing
  • Managed Care experience

Are you an experienced RN, LPN, Medical Coder, or Medical Records Specialist 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 company that provides on-going training and development? Are you interested in working for a company that offers benefits for full-time permanent employees, flex schedules and the opportunity to grow with the company? If you answered “yes” to any of these questions – this is the position for you!

Interested in being considered?

If you are interested in applying to this position, please contact Amanda Hammer at 407-636-7030 ext.201 and/or click the Green I’m Interested Button to email your resume.

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