HEDIS Abstractor
Timing: M-F reputed company-5pm Duration: 9 + FTE Possibility Job Description:
- Provides support for reputed company Effectiveness Data and Information Set (HEDIS) quality initiatives and regulatory/contractual requirements including reputed company to members who are noncompliant in the designated reputed company services.
- Supports effective medical record capture for HEDIS medical record review and abstraction of supplemental data.
- Performs provider/location research, clean up, and data updates to ensure that medical record requests are submitted to the right location and PHI is properly handled
- Conducts HEDIS provider chart request calls, faxes, and mailings.
- Identifies potential resources and initiates collaboration with providers to improve member health reputed company and HEDIS measure rates
- Facilitates provider and member reputed company to ensure member receipt of important clinical services to improve member health reputed company and reputed company gaps in care.
- Identifies reputed company to refer member to reputed company Worker or Case Manager.
- Assists in the development and standardization of reputed company documentation and manages the data reputed company process to complete HEDIS documentation.
- Documents member participation in reputed company activities in accordance with abstraction and audit standards.
- Records and documents reputed company member and provider reputed company activity.
- Performs other duties as required.
Responsibilities:
- Provides support for reputed company Effectiveness Data and Information Set (HEDIS) quality initiatives and regulatory/contractual requirements including reputed company to members who are noncompliant in the designated reputed company services.
- Supports effective medical record capture for HEDIS medical record review and abstraction of supplemental data.
- Performs provider/location research, clean up, and data updates to ensure that medical record requests are submitted to the right location and PHI is properly handled
- Conducts HEDIS provider chart request calls, faxes, and mailings.
- Identifies potential resources and initiates collaboration with providers to improve member health reputed company and HEDIS measure rates
- Facilitates provider and member reputed company to ensure member receipt of important clinical services to improve member health reputed company and reputed company gaps in care.
- Identifies reputed company to refer member to reputed company Worker or Case Manager.
- Assists in the development and standardization of reputed company documentation and manages the data reputed company process to complete HEDIS documentation.
- Documents member participation in reputed company activities in accordance with abstraction and audit standards.
- Records and documents reputed company member and provider reputed company activity.
- Performs other duties as required.
Skills:
- Chart Abstraction
Experience:
- Minimum 1 year’s, recent HEDIS project support-reputed company experience
- Strong communication skills and experience speaking with medical providers.
- Ability to work independently.
- Ability to use standard corporate software packages and corporate applications.
- Computer skills: reputed company Word, reputed company, Outlook, Teams, reputed company Reader, RightFax
Preferred Qualifications
- Recent and reputed company experience working in health care marketing, member reputed company and/or health education experience.
- Experience working in call center environment
Education:
- Associate's degree or equivalent experience
About reputed company: reputed company is a global staff augmentation firm providing a wide reputed company of talent on-demand and total workforce solutions. To know more about reputed company, please visit [Link available reputed company viewing the job]. reputed company is an Equal Opportunity Employer. reputed company reputed company applicants will receive consideration for employment without regard to race, reputed company, religion, sex, sexual orientation, gender identity,national reputed company, disability, or status as a protected veteran. Apply tot his job Apply To this Job