HEDIS Analyst

1 week ago

Dallas, TX, United States ThreePDS Inc. Full time
Job Opportunity
The Quality HEDIS Retriever/Analyst supports HEDIS team by conducting Medical Records chart chasing and data entry of medical records for HEDIS projects, HEDIS like projects and supplemental data collection. The Quality HEDIS Retriever/Analyst will meet chart retrieving productivity standards as well as minimum over read standards and 100% compliance on cleared pends.
  • CANDIDATE MUST LIVE IN THE DFW AREA TO QUALIFY FOR THIS POSITION
  • 100% remote but they will need to come in for PCHP orientation & to obtain their badge & equipment.
  • Access to high-speed internet and secure working environment is required.
Skills or Special Abilities:
  • Must be able to work within an interdisciplinary team model
  • Must have excellent communication skills, both verbal and written
  • Must have excellent organizational skills
  • Must demonstrate critical thinking and problem-solving skills
  • Must be able to communicate effectively with all levels of internal and external personnel
  • Must have a working knowledge of MS Office (Word, Excel, VISIO, SharePoint) software
  • Must be a goal-oriented self-starter with excellent interpersonal skills
Responsibilities:
  • The Quality HEDIS Retriever/Analyst will function as support of the HEDIS Team during the traditional HEDIS season and/or during off-season projects
  • Perform at minimum retrieval/chasing of assigned measures and training as part of their responsibilities
  • Works in conjunction with Clinical Quality Program Manager to complete training and subsequent retrieval by measure specific team assignment
  • Will escalate matters to Clinical Quality Program Manager as appropriate
  • Collaborates with other HEDIS Abstractors & Retrievers and will always demonstrate PCHP core values
  • Will adhere to compliance of the hybrid and remote policy, HIPAA regulations, professional conduct, and ethical practice
  • Completes all special projects and other duties as assigned
  • Must be able to perform duties with reasonable accommodation
  • Must be able to communicate effectively with medical offices
  • Must have a transportation vehicle to visit provider offices

Submission Requirements
  • 2+ years Medical Record Review retrieval/chasing experience - REQUIRED
  • Experience working with HEDIS data entry software/reporting tools or experience with data entry in HEDIS engines - REQUIRED
  • Knowledge of HEDIS/NCQA - REQUIRED
  • Experience working remotely on team projects - REQUIRED
  • Must be comfortable communicating via various modes (email, IM, phone) in a timely manner - REQUIRED
  • Must be comfortable using/learning Microsoft Office products (SharePoint, Outlook. Teams, Word, Excel, etc.) - REQUIRED
PROFILE REQUIREMENTS
  • Resume/Work history
  • Skills Checklist (analyst, compliance/credentialing, Microsoft/IT)
  • Copy of Certification(s)
  • At least 1 reference
  • MUST note on profile if applicant has been a past traveler or FTE of Parkland Health
  • MUST include drivers license

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