TEKsystems
Hedis Specialist
TEKsystems, Los Angeles, California, United States, 90079
Description:
Collaborate and continuously coordinate with the HEDIS project team to assure a successful outcome of the project and HEDIS Compliance Audit.Conduct HEDIS-related research and medical record review.Act as HEDIS liaison to providers at which reviews are performed.Other duties as assigned.Knowledge of HEDIS technical specifications, including but not limited to hybrid measure medical record data abstraction requirements.An emphasis in Medicare or Medicaid/Medi-Cal managed care.
Skills:
Hospital billing, Ambulatory, audit, managed care, medical charts, data abstraction.
Top Skills Details:
Hospital billing, Ambulatory, audit, managed care, medical charts, data abstraction.
Additional Skills & Qualifications:
Previous HEDIS medical record review or auditing of medical record experience highly desired (priority to candidate with this direct experience).Medical knowledge/terminology is required (MUST).Ability to read and interpret medical records (MUST).Knowledge of EMR systems with ability to navigate through records contained within them.Computer savvy: Microsoft Word, Excel, email, and Adobe reader required. Know how to save a file to a folder.Ability to maintain medical record review productivity average of 40-60 records depending on the measure.Certified Professional in Healthcare Quality (CPHQ).
Experience Level:
Entry Level
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Collaborate and continuously coordinate with the HEDIS project team to assure a successful outcome of the project and HEDIS Compliance Audit.Conduct HEDIS-related research and medical record review.Act as HEDIS liaison to providers at which reviews are performed.Other duties as assigned.Knowledge of HEDIS technical specifications, including but not limited to hybrid measure medical record data abstraction requirements.An emphasis in Medicare or Medicaid/Medi-Cal managed care.
Skills:
Hospital billing, Ambulatory, audit, managed care, medical charts, data abstraction.
Top Skills Details:
Hospital billing, Ambulatory, audit, managed care, medical charts, data abstraction.
Additional Skills & Qualifications:
Previous HEDIS medical record review or auditing of medical record experience highly desired (priority to candidate with this direct experience).Medical knowledge/terminology is required (MUST).Ability to read and interpret medical records (MUST).Knowledge of EMR systems with ability to navigate through records contained within them.Computer savvy: Microsoft Word, Excel, email, and Adobe reader required. Know how to save a file to a folder.Ability to maintain medical record review productivity average of 40-60 records depending on the measure.Certified Professional in Healthcare Quality (CPHQ).
Experience Level:
Entry Level
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