This site uses cookies. To find out more, see our Cookies Policy

HEDIS Registered Nurse/RN or License Practise Nurse/LPN in Phoenix at Collabera

Date Posted: 11/2/2018

Job Snapshot

  • Employee Type:
    Contractor
  • Location:
    Phoenix
  • Job Type:
  • Experience:
    Not Specified
  • Date Posted:
    11/2/2018

Job Description

The Healthcare Effectiveness Data and information Set (HEDIS) Nurse Abstractor works under the direction of the HEDIS Lead and other personnel to collect and review medical records. The HEDIS Nurse Abstractor will abstract pertinent medical record data and enter it into a specified data base to support HEDIS reporting and Quality Improvement. The candidate will be required to make telephonic outreaches to provider offices. This is a fast paced environment and candidates must adhere to measured productivity requirements such as number of records reviewed each day and/or week. The candidate is required to attain a score of 100% on specific measure testing prior to conducting live medical record reviews and to achieve and maintain a quality reliability score of 95% to remain eligible for employment for the duration of the project. Responsibilities Follow established procedures for conducting chart abstractions Extracts electronic medical record data using multiple systems Enters pertinent data from medical records into database as required by established abstraction procedures Communicates effectively and professionally with provider offices to outreach specific information or additional chart requests Meet or exceed productivity requirements Other duties as assigned by Market Lead, Regional Lead, or Regional Manager Skills: The candidate will possess: Ability to work independently and in team environment Excellent time management and prioritization skills Excellent communication skills (written and verbal) Strong attention to detail Ability to multi-task Flexibility with assignment changes Highly organized Strong computer skills, (e.g., Data entry, Word and Access, Excel, PDF, Skype, Outlook) Must be comfortable working with dual monitors. Keywords: Education: RN or LPN/LVN license. HEDIS experience a plus Prior chart review or relevant clinical experience involving medical record documentation or medical claims experience desired Skills and Experience: Required Skills: CLAIMS DATABASE EXCELLENT COMMUNICATION SKILLS HEDIS HIGHLY ORGANIZED Additional Skills: MEDICAL CLAIMS MEDICAL RECORDS TIME MANAGEMENT ACROBAT DATA ENTRY DATABASES DOCUMENTATION EXCEL EXCELLENT WRITTEN AND VERBAL COMMUNICATION SKILLS LPN LVN EXCEL OUTLOOK WORD OUTLOOK PDF RN VERY ORGANIZED WORD Languages: English Read Write Speak Certifications & Licenses: LVN RN

Job Requirements

HEDIS Nurse Abstractor Medical Claims Clinical RN or LPN or LVN or 'LVN license'