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HEDIS Coder/Abstractor Specialist

1 month ago

Oklahoma City, Oklahoma, United States PSG Global Solutions Careers Full time
Job Title: HEDIS Coder/Abstractor

We are seeking a highly skilled HEDIS Coder/Abstractor to join our team at PSG Global Solutions Careers. As a HEDIS Coder/Abstractor, you will play a critical role in reviewing medical records and documenting clinical data for HEDIS reporting.

Key Responsibilities:
  • Review medical records and extract relevant details and data for HEDIS reporting
  • Identify and extract relevant details and data within clinical documentation and make determinations or identify appropriate medical codes
  • Utilize resources and reference materials to identify appropriate medical codes and reference code applicability, rules, and guidelines
  • Apply understanding of relevant medical coding subject areas to assign appropriate medical codes
  • Identify areas in clinical documentation that are unclear or incomplete and generate queries to obtain additional information
  • Follow up with providers as necessary when responses to queries are not provided in a timely basis
  • Assist with ensuring that the medical record collection, review, and abstractions are complete and compliant in accordance with NCQA HEDIS technical specifications and guidelines
Requirements:
  • High school education or equivalent experience
  • 2+ years of experience supporting HEDIS and/or quality improvement, and medical coding
  • Active CPC, CRC, RHIT, RHIA Coding Certification (AAPC) or CCS Certification (AHIMA)
About Our Client:

Our client is a fast-growing industry-recognized staffing firm recruiting critical IT, Financial, Engineering, Healthcare, and Data Analytics talent. With 20+ years' experience and growth, they have connections in Automotive, Healthcare, Retail, Financial & Insurance, and Professional & Business Services. They are big enough to have great opportunities and small enough to care about finding the right one for you.

At PSG Global Solutions Careers, we value relationships based on mutual interest, resulting in low turnover, long-lasting partnerships, and growth. If you're looking for a company invested in your success, we encourage you to apply for this exciting opportunity.