HEDIS Compliance Specialist
1 week ago
HEDIS Review Nurses are responsible for conducting annual patient chart inspections to ensure compliance with regulatory standards. This role requires strong clinical knowledge, attention to detail, and excellent communication skills.
About the Role:
This Medical Auditor position involves:
- Abstracting medical records to identify potential issues and trends.
- Applying structured criteria to evaluate medical records and ensure accuracy.
- Maintaining high productivity levels while minimizing errors in record abstraction and data entry.
- Collaborating with healthcare professionals to resolve any discrepancies or concerns.
Qualifications:
- Active RN or LPN/LVN license in state.
- Experience in utilization review, quality assurance, and/or medical record audits.
- Strong understanding of medical terminology, standard medical practices, and federal regulations.
- Effective communication and interpersonal skills for working with healthcare professionals.
Compensation:$105,000 - $135,000 per year.
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