Hedis Quality Specialist
1 day ago
ALTA IT Services, LLC is seeking a highly skilled Hedis Quality Specialist to support a leading health insurance customer. The ideal candidate will have extensive knowledge of HEDIS measures and medical record review processes.
Key Responsibilities:
- Retrieve medical records via EMR or fax request, ensuring compliance with HIPAA and member confidentiality requirements.
- Conduct thorough medical record reviews using proprietary tools and software.
- Utilize extensive knowledge of HEDIS measures to facilitate medical record abstraction for gap closure and additional data gathering.
- Ensure compliance with all HIPAA and member confidentiality requirements.
- Perform all other assigned duties.
Requirements:
- At least two consecutive HEDIS seasons.
- Two years clinical experience and good understanding of medical terminology.
- Proficiency in using Microsoft Office (Excel, Word, Power Point, etc.) and web-based technology.
- Excellent verbal and written communication skills.
Benefits:
- 90% Remote work arrangement.
- Competitive hourly rate of $29.
- Opportunity to work with a leading health insurance customer.
Training and Support:
- One week of training onsite.
- Ongoing support and guidance from experienced professionals.
Why Join Us:
At ALTA IT Services, LLC, we value our employees and offer a supportive and collaborative work environment. We are committed to providing our clients with exceptional service and expertise.
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