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HEDIS Retriever

3 months ago

New York, United States Pride Health Full time

Actively hiring "HEDIS Retriever” for hospital based in New York, NY pay rate is $43-$45/hr.

Title: HEDIS Retriever

Location: New York, NY (Hybrid)

Pay: $43-$45/hr.

Schedule Notes: : 9-5 Hybrid Schedule

Duration: 2-6+ months with high possibility of extension.

Job Details

•Experience with medical record review working on HEDIS/QARR in a managed care, health plan or provider office setting.

•Proficient in Microsoft Office applications including Word, Excel, PowerPoint and Access.

Two years HEDIS review experience. Clinical background preferred (Medical Assistant, Nursing Assistant, Health Educator, LPN, RN, LMSW or LCSW.

Maintain knowledge of medical record review and EMR systems.

Maintain up-to-date knowledge of HEDIS, QARR and Star specifications

Proficiency in MS Office applications, scanning and accurate data entry into systems

Distribute requests for records and schedules appointments with provider offices to ensure timely completion of duties to meet internal and regulatory standards and requirements.

Perform abstraction via EMR, in-house paper medical records, on-site provider visits to collect documentation of measure compliance.

Data enter accurate and timely findings in the appropriate system(s) in accordance with established documentation standards for Health Plan to ensure integrity of member services provided over the continuum of care and over time.

Education and Certification

Completed High School (Diploma or GED)