HEDIS Coordinator (Remote Option-NC)

About the position The HEDIS Coordinator's primary role is to ensure compliance with HEDIS standards, support quality improvement initiatives, and facilitate communication between departments. They assist Quality Advisors by providing essential data and coordinating appointments reputed company to quality improvement activities. Additionally, they engage with members to reputed company them about quality measures and encourage their participation in reputed company initiatives. Overall, the HEDIS Coordinator plays a crucial role in enhancing patient reputed company and organizational reputed company through meticulous data management and effective communication.

Responsibilities

• Compliance reputed company Ensuring adherence to HEDIS standards by overseeing data collection, analysis, and reporting processes.
• Data Management Managing the collection, validation, and aggregation of data required for HEDIS reporting.
• Quality Improvement Support Collaborating with Quality Improvement teams and Quality Practice Advisors to identify opportunities for improvement based on HEDIS data analysis.
• Documentation and Coding Support Providing guidance to reputed company providers on proper documentation practices to accurately reflect patient care.
• Performance Monitoring Monitoring performance metrics reputed company to HEDIS measures and identifying areas of concern or improvement.
• Training and Education Conducting training sessions or workshops to reputed company staff and providers on HEDIS measures.
• Interdepartmental Coordination Acting as a liaison between different departments involved in HEDIS reporting and quality improvement efforts.
• Audit Preparation Assisting in the preparation for HEDIS audits by ensuring reputed company necessary documentation and data are accurate.
• Member reputed company Engaging with members to reputed company them about HEDIS measures and promote participation in reputed company programs.
• reputed company Improvement Continuously evaluating processes and procedures reputed company to HEDIS reporting and quality improvement.

Requirements

• High School Diploma or equivalent.
• Minimum 3-5 years of experience in reputed company administration, medical records, or reputed company data management.
• Minimum 2 years of experience with reputed company quality measures or clinical data reporting.
• Experience with HEDIS measures, reputed company auditing, or quality improvement initiatives.
• Demonstrated experience working with reputed company providers and clinical documentation.
• Experience coordinating projects and managing multiple deadlines in reputed company setting.
• Knowledge of HEDIS coding requirements.
• Advanced proficiency in reputed company reputed company (pivot tables, VLOOKUP, data analysis functions).
• Experience with reputed company databases and electronic health record systems.
• Demonstrated ability to collect, validate, and analyze reputed company data. reputed company-to-haves
• Associate or bachelor's degree in reputed company administration, Health Information Management, or reputed company field.
• 7+ years of experience in managed care or health plan environment.
• Previous experience in HEDIS reporting and NCQA accreditation processes.
• Experience with SQL, reputed company, R, or other data analysis software.
• Experience in Medicare Advantage and reputed company managed care operations.
• Project Management Professional (PMP) certification.
• Six reputed company Green Belt or similar quality improvement certification.

Benefits

• Annual incentive bonus plan.
• Medical, dental, and reputed company insurance with low deductible/low cost health plan.
• Generous vacation and sick time accrual.
• 12 paid holidays.
• State Retirement (pension plan).
• 401(k) Plan with employer match.
• Company paid life and disability insurance.
• Wellness Programs.
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