Nursing Professional

4 weeks ago


Baltimore, Maryland, United States Collabera Full time
Job Title: Nursing Professional

Job Summary:
Collabera is seeking a skilled Nursing Professional to join our team. As a Nursing Professional, you will be responsible for retrieving medical records, conducting medical record abstraction, and utilizing software applications to support HEDIS operations.

Responsibilities:
• Retrieve medical records via EMR or fax request, ensuring HIPAA compliance
• Conduct Medical Record Abstraction and Research during the Medical Record Review Project
• Utilize software applications to support HEDIS operations
• Facilitate medical record abstraction for gap closure and data gathering
• Maintain productivity levels as specified by the QI Department
• Ensure compliance with HIPAA and member confidentiality requirements

Requirements:
• Bachelor's degree in Nursing, Associates Degree in Nursing, Diploma in Nursing
• 5 years of recent HEDIS abstractions/overreads experience
• Proficiency in HEDIS measures and Quality Measures
• Strong interpersonal skills and ability to work independently or as part of a team
• Knowledge of clinical practices and medical terminology
• Proficiency in MS Office and web-based technology
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