HEDIS Medical Records Specialist

Location: Oak Brook, IL
Date Posted: 11-03-2017
About us:
Morgan Stephens represents the nation’s top healthcare systems offering the highest compensation and benefits to our top candidates.   We are created and managed by experienced industry professionals in healthcare. As a leading provider of contract, contract to perm, and direct placement recruiting services to healthcare organizations throughout the United States, we have successfully served the needs of our employees and clients by placing thousands of quality healthcare professionals into organizations seeking top talent.
 
Open Position:
Under the direction of the Manager, Quality Management, the HEDIS Specialist is responsible for the planning, coordination and monitoring of the HEDIS data collection and outreach activities. The function also includes identifying and auditing medical records for gaps in care and recommending ongoing improvement and maintenance.

JOB RESPONSIBILITIES:
Coordinating the Road Map with the HEDIS team members
Reviewing the provider data to ensure accurate data 
Looking for completeness in demographics
Correct provider types
Review and sign-off on provider specialty tables for roadmaps
Providing Data collection instruction to internal staff and preparing training materials for all staff
Provider training and documentation for over read process

JOB REQUIREMENTS:
Active RN or LPN
Understanding of Standards of Care, required
Experience with HEDIS vendor software
HEDIS experience
Knowledge of the NCQA and HEDIS submission process
Minimum 4-5 years working with HEDIS data including:
  • Chart review/collection
  • Over read process
  • Admin of IRR process
  • Hiring of field data collection staff

 
For More Information:
Visit www.morganstephens.com
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Email: info@morganstephens.com

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