Clinical role supporting the HEDIS Coordinator as part of the medical record review team. Responsible for accurately reviewing medical record abstractions and supporting HEDIS Effectiveness Data and Information Set activities in accordance with NCQA guidelines and technical specifications. The position is 100% remote, but the candidate must reside in New Mexico, USA.
Key responsibilities include over-reading daily medical record abstractions, completing IRR/over-read tools, identifying abstraction errors, re-reviewing charts when needed, entering data into software applications, updating chase status, meeting with HEDIS leadership on open issues and results, maintaining productivity standards, and ensuring HIPAA and patient confidentiality compliance.
Qualifications
- Clinical experience
- Knowledge of medical terminology
- Data entry and/or typing experience
- Clear and concise written and verbal communication skills
- PC proficiency, including Word, Excel, and Lotus Notes
- Auditing experience preferred
- HEDIS experience preferred with at least 1 year of experience
- Must reside in New Mexico, USA
Benefits
- Paid time off
Location
New Mexico, US
Employment Type
Contractor
Experience Level
Associate
Remote work allowed
Yes
Posted
1 month ago