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Remote Hedis Coder Jobs in Arizona (NOW HIRING)

PRIORITY ONDEMAND

Nurse Practitioner

Phoenix, AZ · Remote

This fully remote role supports readmission avoidance, care continuity, and patient stabilization ... HCC coding, HEDIS measures is a plus (not required) • Telehealth experience preferred (not ...

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Remote Hedis Coder information

What are the key skills and qualifications needed to thrive as a Remote HEDIS Coder, and why are they important?

To thrive as a Remote HEDIS Coder, you need a strong understanding of medical coding (ICD-10, CPT, HCPCS), HEDIS measures, and healthcare regulations, typically supported by certifications such as CPC, CCS, or RHIT. Familiarity with HEDIS abstraction tools, electronic health records (EHRs), and coding software is essential. Strong attention to detail, time management, and effective communication are crucial soft skills for remote collaboration and data accuracy. These competencies ensure accurate reporting, compliance, and contribute to quality improvement in healthcare organizations.

What are some common challenges faced by Remote Hedis Coders and how can they be addressed?

Remote Hedis Coders often encounter challenges such as maintaining consistent productivity while working independently, interpreting complex medical records accurately, and meeting tight project deadlines during the HEDIS season. To address these, it's important to develop strong time management skills, stay up-to-date with coding guidelines, and actively communicate with your team for support or clarification. Regular check-ins, access to reliable resources, and utilizing collaboration tools can help ensure accuracy and efficiency in your coding tasks.

What are Remote HEDIS Coders?

Remote HEDIS Coders are healthcare professionals who review medical records and assign standardized codes to evaluate healthcare quality measures for the Healthcare Effectiveness Data and Information Set (HEDIS). They work remotely, often for insurance companies or healthcare organizations, to ensure that patient data meets specific reporting requirements. Their work supports quality improvement initiatives and helps organizations maintain compliance with national healthcare standards. Attention to detail, knowledge of coding systems such as ICD-10 and CPT, and familiarity with HEDIS measures are essential for this role.

What is the difference between Remote Hedis Coder vs Remote Medical Coder?

AspectRemote Hedis CoderRemote Medical Coder
CertificationsHEDIS-specific certifications, CPC, CCSCPC, CCS, RHIT, RHIA
Work EnvironmentHealthcare plans, insurance companiesHospitals, clinics, insurance companies
Industry UsagePrimarily in managed care and quality measurementBroad healthcare settings including billing and coding

Remote Hedis Coders focus on quality measurement and HEDIS data, often requiring specific certifications. Remote Medical Coders handle a wider range of medical billing and coding tasks across various healthcare settings. While both roles involve coding and certifications like CPC, their work environments and primary functions differ, with Hedis Coders specializing in quality metrics for insurance plans.

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What job categories do people searching Remote Hedis Coder jobs in Arizona look for? The top searched job categories for Remote Hedis Coder jobs in Arizona are:
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Remote Hedis Coder jobs near you
Nurse Practitioner

Nurse Practitioner

PRIORITY ONDEMAND

Phoenix, AZ • Remote

Other

Posted 11 days ago

Job description

Position Summary


The Nurse Practitioner provides virtual clinical care for patients recently discharged from the hospital and for patients identified as high risk or needing follow up. The NP conducts telehealth assessments, manages care plans, completes medication reconciliation, and supports field clinicians who complete in home visits. This fully remote role supports readmission avoidance, care continuity, and patient stabilization across Georgia and Arizona.

Key Responsibilities


- Conduct virtual clinical assessments for post discharge visits and follow up visits
- Complete medication reconciliation and update patient care plans
- Provide real time support for EMTs during in home assessments
- Document findings in accordance with regulatory standards
- Address clinical quality gaps within NP scope
- Ensure follow up appointments, referrals, and testing are addressed
- Communicate with hospitals, primary care providers, and care partners when needed
- Provide clinical oversight for tasks delegated to EMTs, CHWs, and Social Workers
- Participate in interdisciplinary discussions and reviews
- Adhere to CMS, state, and accreditation requirements
 

Minimum Requirements:

•    Active Arizona NP license or ability to obtain within thirty days
•    Registered with AHCCCS preferred
•    Experience with chronic conditions and care management preferred
•    Experience in telehealth or transitions of care is helpful
•    Ability to support field teams remotely
•    primary care, internal medicine focused >5years of clinical experience 
•    outpatient (home visits, clinic setting) experience required - exclude candidates w inpatient experience only (ER/Surgical) or academic or research
•    Experience w/ annual comprehensive visits, management of patients with multiple chronic conditions is a plus. (not required)
•    Familiarity with HCC coding, HEDIS measures is a plus (not required)
•    Telehealth experience preferred (not required)
 

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