A-Line Staffing Solutions logo

HEDIS REVIEW RN

About the Employer
  • A-Line Staffing Solutions
hourly Salary
$30.00 - $32.00

Job Description

**Contract**

A Registered Nurse is needed for the HEDIS season of a major insurance company in Arizona!

HEDIS 2021 Season hiring!January start

Position Summary: Nurse reviewer will attend training provided on required data needed to meet compliance for specific Hybrid HEDIS measures. Data will be retrieved from medical records obtained through a variety of methods. Position requires flexibility and the ability to work under pressure to meet hard deadlines.

*Must have an active nursing license in the state of Arizona*

M-F 8 AM - 5 PM

Responsibilities:

  • Review, abstract and data enter pertinent medical record data obtained via paper, electronic, CD, fax or mail
  • Access a variety of EMR systems to obtain and abstract medical record data per specifications
  • Name and store medical record files electronically, maintaining member PHI and PII
  • Fax medical record requests to provider offices if requested
  • Provide patient lists to provider offices
  • Accurately enter data into Electronic Medical Record Review abstraction tool

Experience:

  • Knowledge of MRR process is strongly preferred, especially HEDIS specific audit experience
  • Experience with a variety of EMR systems strongly preferred
  • Experience working from home and setting up home office
  • Experience reading and interpreting medical records, including handwritten records

Soft Skills Required:

  • Qualified candidates will possess a professional demeanor and have a strong work ethic, be self-motivated and a conscientious problem solver, willing to learn, and taking personal pride in their work performance/accuracy.
  • Ideal candidates will have proven organizational and time management skills, experience in a work-from-home scenario, and excellent verbal communication skills clear, concise and professional.
  • Must be computer savvy with working knowledge of Microsoft Excel, Outlook, and Adobe preferred.
  • Candidate must be able to commit to duration of the project.
Company
A-Line Staffing Solutions
HEDIS REVIEW RN

Tags: healthcare