HEDIS Coordinator

Newtown, PA - USA

Monthly Salary: Not Disclosed

Posted on: 18 hours ago

Vacancies: 1 Vacancy

Job Summary

Duties

Review and abstract relevant data from medical records and case management to ensure compliance with HEDIS measures clinical information and treatment history
Validate and verify the accuracy of abstracted data to ensure it meets quality standards and aligns with HEDIS specifications
Work with Providers and clinical staff to obtain the necessary medical records
Conduct quality checks on abstracted data to identify and resolve any errors or inconsistencies ensuring high data integrity for reporting purposes
Provide abstraction results including trends and areas for improvement to inform stakeholders and support quality improvement initiatives
Stay up to date on HEDIS measure changes and healthcare regulations continuously seeing ways to improve the abstraction and overread process
Document findings in applicable HEDIS databases and on prescribed platforms.
Meet daily medical record overview goals.
Track and report on issues and outcomes as related to abstractions and over-reads.
Correct errors identified through over-read process including re-review of charts that may contain similar errors.
Maintain productivity level as determined by QI department
Maintain compliance with all HIPAA and Patient Confidentiality requirements

Skills:

1-3 years Demonstrated expertise medical record and/or case management data collection medical terminology
Should have knowledge of HEDIS medical terminology and basic charting.
Ability to work in a production environment.
The ability to function effectively within multidisciplinary teams.
Ability to accurately complete tasks within established times.
Ability to effectively prioritize multiple tasks and deadlines.

Education:

High School/GED

Duties Review and abstract relevant data from medical records and case management to ensure compliance with HEDIS measures clinical information and treatment history Validate and verify the accuracy of abstracted data to ensure it meets quality standards and aligns with HEDIS specifications Work wi...