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HEDIS Reviewer 3
Ref No.: 18-13374
Location: Dallas, Texas
Start Date / End Date: 01/21/2019 to 04/20/2019
Duration:3-3 month(s)

Description/Comment:Medical Record Review (MRR) Abstractor

MRR PROJECT: The assignment will encompass medical record review, including data collection from provider offices and abstraction of those records utilizing NCQA HEDIS Technical specifications to optimize Plan HEDIS scores. Medical record review also consists of abstraction from electronic medical records and/or abstraction from faxed/mailed medical records. Training will be provided prior to the start of the assignment.

Duties Include:
• Locate and review all assigned medical charts, perform abstraction, and copy all chart documentation per Plan specifications
• Perform complete and accurate data entry of qualifying services and results into HEDIS electronic database software and other duties as assigned

• Knowledge of HEDIS Measures is strongly preferred
• Ability to read and interpret medical records
• Professional demeanor and good work ethic; must dress in business casual attire
• Posses excellent communication skills; ability to interact with all levels of staff
• Conscientious problem solver, willing to learn, takes personal pride in their work performance/accuracy
• Familiarity with how to use a lap top computer, connect to the internet and VPN, as well as in the use of a USB flash drive, CD drive, copier and scanner. A strong working knowledge of Microsoft Office products needed, as well as basic computer skills. Secure home network required.
• Demonstrated ability to successfully prioritize and organize a high volume of work to meet deadlines
• Position is REMOTE but may require travel to our providers in local area. Must have reliable transportation and willing and able to drive within their assigned geographic area (approximately 150 miles)
• Must be able to lift 25 lbs.
• Attend weekly and as needed department meetings

Additional Job Details:Critical Requirements: • Successfully complete Medical Record Reviewer training and Inter Rater Reliability Testing at 95%, as well as complete HEDIS software training and use software correctly to facilitate accurate reporting and ongoing progress of the annual HEDIS project • Must commit to duration of the project – cannot take another job elsewhere and abandon the assignment • Regular and reliable attendance and punctuality is an essential function of the position • Must keep all information collected in a safe, organized and confidential manner • Be able to work 40 hours/week, Monday – Friday from 8am-5pm • Candidate must commit to a full training week in the office