Required Experience: * 5+ years coding and medical record abstraction experience. * 5+ years managed care experience. * Basic knowledge of HEDIS and NCQA. Required Licensure/Certification
Required Experience: * 5+ years coding and medical record abstraction experience. * 5+ years managed care experience. * Basic knowledge of HEDIS and NCQA. Required Licensure/Certification
Required Experience: * 5+ years coding and medical record abstraction experience. * 5+ years managed care experience. * Basic knowledge of HEDIS and NCQA. Required Licensure/Certification
Required Experience: * 5+ years coding and medical record abstraction experience. * 5+ years managed care experience. * Basic knowledge of HEDIS and NCQA. Required Licensure/Certification
Experience: * 0-2 years coding and medical record abstraction experience. 0-2 years managed care experience. * Basic knowledge of HEDIS and NCQA. Licensure/Certification is a plus. * Registered ...
Experience: * 0-2 years coding and medical record abstraction experience. 0-2 years managed care experience. * Basic knowledge of HEDIS and NCQA. Licensure/Certification is a plus. * Registered ...
HEDIS Specialist I
Irving, TX · On-site
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 ...
HEDIS Specialist I
Irving, TX · On-site
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 ...
Medical Coder
$17.75 - $23.50/hr
About the job Medical Coder Company Overview: Confident Staff Solutions is a leading staffing ... Overview: We are offering a HEDIS course to individuals looking to start working as a HEDIS ...
Medical Coder
$17.75 - $23.50/hr
About the job Medical Coder Company Overview: Confident Staff Solutions is a leading staffing ... Overview: We are offering a HEDIS course to individuals looking to start working as a HEDIS ...
Must be RN, LPN, Medical Coder, or Medical Records Specialist * 3+ years of experience with HEDIS measurements and HEDIS auditing * Managed Care experience Additional Information Are you an ...
Must be RN, LPN, Medical Coder, or Medical Records Specialist * 3+ years of experience with HEDIS measurements and HEDIS auditing * Managed Care experience Additional Information Are you an ...
Identify opportunities to improve measure capture, coding accuracy, and documentation through ... Experience with NCQA HEDIS measures and reporting processes. * Familiarity with Medicare Stars ...
Identify opportunities to improve measure capture, coding accuracy, and documentation through ... Experience with NCQA HEDIS measures and reporting processes. * Familiarity with Medicare Stars ...
HEDIS Performance Analytics Lead
$83.80K - $157.89K/yr
Identify opportunities to improve measure capture, coding accuracy, and documentation through ... Experience with NCQA HEDIS measures and reporting processes. * Familiarity with Medicare Stars ...
HEDIS Performance Analytics Lead
$83.80K - $157.89K/yr
Identify opportunities to improve measure capture, coding accuracy, and documentation through ... Experience with NCQA HEDIS measures and reporting processes. * Familiarity with Medicare Stars ...
HEDIS RN/LPN
Trenton, NJ · On-site
$30.25 - $40/hr
Trenton, New Jersey LPN Auditors for HEDIS Audit Season or Certified Coders need for HEDIS 2016 Experience in HEDIS chart audits or medical records reviews LPN or Coder with HEDIS experience required.
HEDIS RN/LPN
Trenton, NJ · On-site
$30.25 - $40/hr
Trenton, New Jersey LPN Auditors for HEDIS Audit Season or Certified Coders need for HEDIS 2016 Experience in HEDIS chart audits or medical records reviews LPN or Coder with HEDIS experience required.
HEDIS Performance Analytics Lead
Harrisburg, PA · On-site +1
$83.80K/yr
Identify opportunities to improve measure capture, coding accuracy, and documentation through ... Experience with NCQA HEDIS measures and reporting processes. * Familiarity with Medicare Stars ...
HEDIS Performance Analytics Lead
Harrisburg, PA · On-site +1
$83.80K/yr
Identify opportunities to improve measure capture, coding accuracy, and documentation through ... Experience with NCQA HEDIS measures and reporting processes. * Familiarity with Medicare Stars ...
RN HEDIS /LPN
Trenton, NJ · On-site
$30.25 - $40/hr
Trenton NJ Immediate interview Experience in HEDIS chart audits or medical records reviews LPN or Coder with HEDIS experience required. Position Comments: LPN Auditors for HEDIS Audit Season or ...
RN HEDIS /LPN
Trenton, NJ · On-site
$30.25 - $40/hr
Trenton NJ Immediate interview Experience in HEDIS chart audits or medical records reviews LPN or Coder with HEDIS experience required. Position Comments: LPN Auditors for HEDIS Audit Season or ...
HEDIS Utilization Review Nurse
Winter Haven, FL · On-site
$26.50 - $35/hr
Collaborate with providers, coders, and clinical teams to ensure proper documentation and follow-up. * Assist in the coordination and execution of the annual HEDIS data collection cycle. * Maintain ...
HEDIS Utilization Review Nurse
Winter Haven, FL · On-site
$26.50 - $35/hr
Collaborate with providers, coders, and clinical teams to ensure proper documentation and follow-up. * Assist in the coordination and execution of the annual HEDIS data collection cycle. * Maintain ...
HEDIS Utilization Review Nurse
$26.50 - $35/hr
Collaborate with providers, coders, and clinical teams to ensure proper documentation and follow-up. * Assist in the coordination and execution of the annual HEDIS data collection cycle. * Maintain ...
HEDIS Utilization Review Nurse
$26.50 - $35/hr
Collaborate with providers, coders, and clinical teams to ensure proper documentation and follow-up. * Assist in the coordination and execution of the annual HEDIS data collection cycle. * Maintain ...
Can be RN/LPN / Medical Coder / Medical Records Specialist * 3+ years experience with HEDIS measurements and HEDIS auditing preferred * Managed Care Experience * Experience with Customer Service ...
Can be RN/LPN / Medical Coder / Medical Records Specialist * 3+ years experience with HEDIS measurements and HEDIS auditing preferred * Managed Care Experience * Experience with Customer Service ...
Job Title: HEDIS Practice Advisor Are you an experienced Healthcare Professional with HEDIS ... Certified Coding Specialist (CCS) * Licensed Practical Nurse (LPN) * Licensed Social Worker (LSW)
Job Title: HEDIS Practice Advisor Are you an experienced Healthcare Professional with HEDIS ... Certified Coding Specialist (CCS) * Licensed Practical Nurse (LPN) * Licensed Social Worker (LSW)
HEDIS Specialist
$20 - $25/hr
Prepares Annual HEDIS Medical Record abstraction and data entry training manual. * Assists in ... Qualifications * LPN or Certified Coder (if coder, must have extensive medical records experience ...
HEDIS Specialist
$20 - $25/hr
Prepares Annual HEDIS Medical Record abstraction and data entry training manual. * Assists in ... Qualifications * LPN or Certified Coder (if coder, must have extensive medical records experience ...
Are you an experienced Chart Reviewer / QI Clerk / HEDIS Abstractor looking for a new opportunity ... coding, auditing, review, abstractor Strong computer skills Commitment to abide by all patient ...
Are you an experienced Chart Reviewer / QI Clerk / HEDIS Abstractor looking for a new opportunity ... coding, auditing, review, abstractor Strong computer skills Commitment to abide by all patient ...
Quality Audit Specialist
Chicago, IL · On-site
$40 - $45/hr
Apply HEDIS code sets and value sets appropriately. * Collaborate with internal teams, providers, and vendors to improve data quality. * Maintain documentation and reporting tied to HEDIS compliance ...
Quality Audit Specialist
Chicago, IL · On-site
$40 - $45/hr
Apply HEDIS code sets and value sets appropriately. * Collaborate with internal teams, providers, and vendors to improve data quality. * Maintain documentation and reporting tied to HEDIS compliance ...
Manager, HEDIS - Denver Health Medical Plan (* Weekly Hybrid Schedule *)
Denver, CO · On-site
$31.25 - $41.25/hr
Support NCQA accreditation process by providing subject matter expertise on quality standards (10%) * Work with providers on appropriate coding and documentation for HEDIS Stars and MLR measures.
Manager, HEDIS - Denver Health Medical Plan (* Weekly Hybrid Schedule *)
Denver, CO · On-site
$31.25 - $41.25/hr
Support NCQA accreditation process by providing subject matter expertise on quality standards (10%) * Work with providers on appropriate coding and documentation for HEDIS Stars and MLR measures.
QI SPECIALIST II (HEDIS)
Irving, TX · On-site
Provides education for HEDIS measures; reviews charts for appropriate medical record documentation and appropriate coding. Candidate assists in resolving deficiencies impacting plan compliance to ...
QI SPECIALIST II (HEDIS)
Irving, TX · On-site
Provides education for HEDIS measures; reviews charts for appropriate medical record documentation and appropriate coding. Candidate assists in resolving deficiencies impacting plan compliance to ...
Hedis Coder information
See salary details
$18.33 is the 25th percentile. Wages below this are outliers.
$15.87 - $18.38
26% of jobs
$18.38 - $20.89
9% of jobs
$20.89 - $23.40
12% of jobs
The median wage is $24.66 / hr.
$23.40 - $25.92
9% of jobs
$25.92 - $28.43
11% of jobs
$28.43 - $30.94
5% of jobs
$32.83 is the 75th percentile. Wages above this are outliers.
$30.94 - $33.46
6% of jobs
$33.46 - $35.97
5% of jobs
$35.97 - $38.48
5% of jobs
$38.48 - $41
3% of jobs
$41 - $43.51
10% of jobs
$15
$27
$43
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Job 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.
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.
- Assists as needed in support of accreditation activities such as NCQA reviews, CAHPS and state audits.
Knowledge/Skills/Abilities:
- Proficient with PC-based systems and the ability to learn new information systems and software programs.
- Ability to work with large files and data sets.
- Basic understanding of Health Plan billing practices and information systems.
- Strong communication and teaming/interpersonal skills; strong leadership capabilities.
- Ability to initiate and maintain cross-team relationships.
- Excellent verbal and written communication skills.
- Ability to abide by policies.
- Maintain regular attendance based on agreed-upon schedule.
- Maintain confidentiality and comply with Health Insurance Portability and Accountability Act (HIPAA).
- State Licensed Vocational Nurse or Registered Health Information Technician (RHIT), or Certified Medical Record Technician with training in coding procedures.
Required Experience:
- 5+ years coding and medical record abstraction experience.
- 5+ years managed care experience.
- Basic knowledge of HEDIS and NCQA.
Required Licensure/Certification:
- Licensed LVN/LPN, Registered Health Information Technician (RHIT), or Certified Medical Record Technicians.
Kind Regards,
Kavita Kumari
Clinical Recruiter
Integrated Resources, Inc.
IT Life Sciences Allied Healthcare CRO
DIRECT # - 732-844-8726
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