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HEDIS Reviewer 1 in New Albany, OH at Integrated Resources, Inc

Date Posted: 1/11/2019

Job Snapshot

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Job Description

Duration:0-5 month(s)

Description/Comment:HEDIS Coordinator: The assignment will encompass all administrative activities needed to support the annual HEDIS medical record review project by coordinating the identification, collection, and abstraction of medical record documentation from provider locations in collaboration with other HEDIS staff.

Additional Job Details:Primary Duties: - Conduct provider outreach to gather and/or confirm office/provider demographics and HEDIS record retrieval instructions - Coordinate with HEDIS Abstractors and provider office staff the scheduling of onsite reviews. - Receive medical records via fax or mail, filing, scanning, and uploading medical records - Log receipt of medical record documentation in appropriate software (e.g., Excel, HEDIS reporting software). - Access various web portals to download medical records as needed - Handle incoming calls from HEDIS abstractors and providers, - Monitor HEDIS helpline as directed and route calls to appropriate individual - Download pull lists and fax requests for medical records to providers. - Troubleshoot record retrieval logistics with providers and abstractors - Manage reject queues in records management vendor's tool - Perform other duties as needed to assist HEDIS team with day to day operations. Requirements: Education: - High School Graduate or GED - Medical Assistant Diploma (preferred) Skills/Abilities: - Medical knowledge/terminology (preferred). - Knowledge of HEDIS and reviewing medical records (preferred) - Ability to read and interpret medical records. - Professional demeanor and good work ethic. - Conscientious problem solver, willing to learn, and take personal pride and accountability for their work performance/accuracy. - Excellent verbal and written communication skills clear, concise and appropriate. - Computer savvy: Intermediate skill level in Microsoft Word, Excel, Access and Outlook. Know how to copy and paste, sort, filter, format, and save a file to a folder. - Must dress in business casual attire and maintain a professional appearance. - Proven organizational and time management skills. - Be flexible and work under pressure (awareness of and ability to meet deadlines) - Have ability to effectively serve customers; make decisions, maintain a concentrated level of attention to information communicated in person and by telephone throughout a typical workday. - Must keep all information collected in a safe, organized and confidential manner. Physical: Mobility Requirements: regular bending at the waist, and reaching overhead, above the shoulders and Clienttally, to retrieve and store files and supplies and sit or stand for extended periods of time; Lifting Requirements: regularly lift and carry files, notebooks, and office supplies that may weigh up to 25 pounds; Visual Requirements: ability to read information in printed materials and on a computer screen; perform close-up work; clarity of vision is required at 20 inches or less; Dexterity Requirements: regular use of hands, wrists, and finger movements; ability to perform repetitive motion (keyboard); writing (note-taking); ability to operate a computer keyboard and other office equipment Hearing/Talking Requirements: ability to hear normal speech, hear and talk to exchange information in person and on telephone; Critical : - Be able to work Monday Friday (40 hours a week) unless otherwise arranged. - Commit to duration of the project with the understanding that work hours can be varied.