Monday Friday Hedis Abstractor Jobs in Baton Rouge, LA

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HEDIS Operations combines talented individuals from many areas of quality, including HEDIS, CAHPS and Accreditation. Our goal is extraordinary performance that exceeds the expectations of the constituents, customers and members we serve. 

In this position, you will work with the HEDIS Operations staff to assist with the 2016 data collection cycle. 

The purposes of this role include, but are not limited to: 

1. Medical record review and collection 

2. Abstraction and data entry for HEDIS and HEDIS-like measures 

3. Over read of medical records 

The candidate must be technically savvy and must be able to work without distraction. This is a high production environment, and candidates must adhere to measured productivity requirements. 

Responsibilities: 

Performs provider/practitioner medical record reviews, abstraction and data entry for HEDIS and HEDIS-like measures as part of HEDIS Operations 

Reviews assigned medical records in order to abstract clinical data elements for HEDIS reporting, e.g., results of laboratory tests, verification of hypertension and the most recent blood pressure reading, prenatal and postpartum care services 

Integrates data collected from a variety of electronic and paper sources 

Identifies findings supported by documentation guidelines with high level of accuracy 

Documents abstraction findings in HEDIS database tool 

Maintains HIPAA standards and confidentiality of protected health information; reports critical incidents immediately 

Communicates identification of pursuit leads for additional medical records, if needed, to other members of the team 

Attends conference calls as necessary to provide information relating to clinical reviews and compliance 

Successfully completes HEDIS technical specification training and testing 

Successfully completes HEDIS software training and uses software correctly 

Is responsible for meeting daily abstraction production goal 

Is responsible for meeting and maintaining quality requirement of 95% abstraction accuracy 

Performs other duties as assigned 

Clinical degree highly preferred, including, but not limited to: RN, LVN, LPN 

Current, unrestricted state license in applicable field 

Experience working with HEDIS software (data entry, reporting) at least one year

Experience in medical record review (vendor or health plan; onsite or fax/mail) 

Experience working in EMR systems

Hours: Monday-Friday Daytime Hours

Pay rate: Depends on License/Experience

Interested in being considered? 

If you are interested in applying to this position, please contact Courtney Phelps at 407-636-7030 x 207 and click the Green I'm Interested Button to email your resume.