Temp - Administrative - Quality Improvement and Compliance Days Dallas TX
Temp - Administrative - Quality Improvement and Compliance Days Dallas TX
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Job Description
- This position is a hybrid working position you must be living in the DFW or surrounding area. Access to highspeed internet and secure working environment is required. All equipment will be provided
Primary Purpose
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.
Responsibilities:
1. The Quality HEDIS Retriever / Analyst will function as support of the HEDIS Team during the traditional HEDIS season and/or during offseason projects
2. Perform at minimum retrieval / chasing of assigned measures and training as part of their responsibilities
3. Works in conjunction with Clinical Quality Program Manager to complete training and subsequent retrieval by measure specific team assignment
4. Will escalate matters to Clinical Quality Program Manager as appropriate
5. Collaborates with other HEDIS Abstractors & Retrievers and will always demonstrate PCHP core values
6. Will adhere to compliance of the hybrid and remote policy HIPAA regulations professional conduct and ethical practice
7. Completes all special projects and other duties as assigned
8. Must be able to perform duties with reasonable accommodation
9. Must be able to communicate effectively with medical offices
Requirement description :
- 2 years of medical record review/retrieval experience
- experience auditing files to ensure accuracy and compliance
- strong experience and comfort using multiple software programs; Microsoft programs (sharepoint teams outlook excel etc...)
- HEDIS/NCQA knowledge
- experience working with HEDIS data entry software/reporting tools and/or entry in HEDIS engines
ADDITIONAL LICENSE REQUIREMENTS :
Weekend Requirements : as needed
On Call Requirements : n/a
Employment Type
Full Time
