HEDIS Nurse - Seasonal

About the position

The HEDIS Nurse position is a temporary role focused on medical record review and compliance with HEDIS hybrid measures. The nurse will assist in the collection and review of medical records, provider outreach, and other project-related activities, ensuring high accuracy in abstraction and compliance with HIPAA regulations.

Responsibilities
• Review medical records to determine compliant records.
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• Meet daily abstraction goals and maintain a high abstraction accuracy percentage.
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• Assist in the preparation and submission of medical records to the HEDIS vendor.
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• Collaborate with healthcare providers to clarify and obtain necessary information.
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• Coordinate and perform on-site medical record abstraction as needed.
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• Identify difficult providers as well as those who readily send medical records.
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• Maintain confidentiality and comply with HIPAA regulations.

Requirements
• Active nursing license (RN or LPN).
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• Minimum of 2 years experience with HEDIS Medical Record Review.
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• In-depth knowledge of HEDIS hybrid measures.
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• Ability to work effectively in a fast-paced environment.
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• Excellent communication and interpersonal skills.
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• Strong analytical and critical thinking skills.
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• Proficient in electronic medical records (EMR) and case management systems.

Nice-to-haves
• 1 year of experience with HEDIS (Preferred)

Benefits
• Health insurance
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• Dental insurance
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• 401(k)
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• Paid time off
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• Vision insurance

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