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Full Time Hedis Medical Chart Review Jobs (NOW HIRING)

Integrated Resources INC

HEDIS Record Reviewer

Milwaukee, WI · On-site

$29.75 - $39.50/hr

The HEDIS Record Reviewer performs accurate and efficient medical record review and abstraction for ... Medical record review and abstraction is performed in the client office and at various provider ...

Healthcare Support Staffing

HEDIS Specialist

Troy, MI · On-site

$35 - $40/hr

Assists the Manager in the coordination and preparation of the HEDIS medical record review which includes ongoing review of records submitted by providers and the annual HEDIS medical record review.

US Tech Solutions

Medical Billing Coder

Wellesley, MA · Remote

$20.50 - $27.50/hr

This role will also assist with building the medical chart review program at Client's Duties and ... Experience in performing HEDIS chart abstractions; Experience in Risk Adjustment audit HCC ...

Astrana Health, Inc.

HEDIS Abstractor

Monterey Park, CA · On-site

$27 - $33/hr

Quality - Quality Care Improvement Employment Type: Full Time Location: 1600 Corporate Center Dr ... What You'll Do * Perform medical record abstraction and chart review for HEDIS and quality ...

Astrana Health, Inc.

HEDIS Abstractor

Monterey Park, CA · Hybrid

$27 - $33/hr

Perform medical record abstraction and chart review for HEDIS and quality improvement initiatives * Identify and close HEDIS care gaps through accurate review and documentation of clinical records

Astrana Health

HEDIS Abstractor

Monterey Park, CA · Hybrid

$27 - $33/hr

Perform medical record abstraction and chart review for HEDIS and quality improvement initiatives * Identify and close HEDIS care gaps through accurate review and documentation of clinical records

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HEDIS Specialist I

Irving, TX

Integrated Resources INC
Recruiting and Staffing Services • 51 - 200 employees
Learn more about Integrated Resources INCexternal

Full-time

Re-posted 15 hours ago

Job description

Company Description

Integrated Resources, Inc., is led by a seasoned team with combined decades in the industry. We deliver strategic workforce solutions that help you manage your talent and business more efficiently and effectively. Since launching in 1996, IRI has attracted, assembled and retained key employees who are experts in their fields. This has helped us expand into new sectors and steadily grow.

Job Description

Under the direction of the HEDIS Program Manager, supports the annual HEDIS project management by coordinating the identification, collection and abstraction of medical records and other data in collaboration with other HEDIS staff.

Essential Functions:

  • Assists the Manager in the coordination and preparation of the HEDIS medical record review which includes ongoing review of records submitted by providers and the annual HEDIS medical record review.
  • Participates in meetings with vendors for the medical record collection process. Assists Manager with medical record vendor oversight.
  • Assists Manager in training abstractor staff and participates in the medical record IRR.
  • Identifies member service gaps based on data loaded in the HEDIS application.
  • Collects medical records and reports from provider offices based on member needed services reports and gaps and loads data into the HEDIS application.
  • Works with the corporate HEDIS team to monitor accuracy of abstracted records as required by HEDIS specifications.
  • Participates in scheduled meetings with the corporate HEDIS team, vendors and HEDIS auditors.
  • Assists the QI staff with physician and member interventions and incentive efforts as needed.
  • Provides data collection and report development support for Quality Improvement studies and performance improvement projects.
Qualifications
  • 0-2 years coding and medical record abstraction experience.
  • 0-2 years managed care experience. Basic knowledge of HEDIS and NCQA.
  • Experience with EMR systems.
Additional Information

Kind Regards,

Kavita Kumari

Clinical Recruiter

Integrated Resources, Inc.

IT Life Sciences Allied Healthcare CRO

DIRECT # - 732-844-8726

Integrated Resources logo

About Integrated Resources

Sourced by ZipRecruiter

Integrated Resources Inc (IRI), based in Edison, NJ, US, is an esteemed player in the staffing solutions industry with a credible presence on their official website irionline.com. Notably, IRI provides a range of professional staffing services including contract, contract-to-hire, and direct hire solutions to a wide spectrum of industries such as healthcare, life sciences, manufacturing, financial, insurance, and others. Since its inception, IRI has been committed to delivering top-talent and optimum solutions to meet its clients' diverse needs.

Industry

Recruiting and staffing services

Company size

51 - 200 Employees

Headquarters location

Edison, NJ, US

Year founded

1996

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