HEDIS Specialist

Location: Milwaukee, WI
Date Posted: 11-29-2017
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:
The primary responsibility of the HEDIS Medical Record Specialist is to provide administrative, clerical, and scheduling support to HEDIS Abstractors conducting the Chart Review and Chart Abstraction portion of the HEDIS (Healthcare Effectiveness Data and Information Set) Audit.  The Specialist is responsible for providing basic administrative and telephonic support for the Quality Improvement department in order to meet deadlines associated within the project. The Specialist will work under the direction of the Team Lead to assist with requests for information by contacting provider practices. They will coordinate with provider offices to verify information, transfer documents, schedule onsite visits if needed, and other administrative functions.  A high degree of telephonic and in-person professionalism and team effort is expected to be maintained througho

JOB RESPONSIBILITIES:
Manage Medical Records
Medical privacy and confidentiality is maintained at all times
Records are stored in locked filing cabinets
Records are retrieved only as requested by staff and auditors
Research within the company’s claim systems to assist abstractors to identify provider location
Call members as directed to inquire about the provider of their care
A high degree of professionalism in telephonic dialog must be maintained
Process Documentation
Maintain office equipment such as fax, camera, scanner, computer
Retrieve previously scanned or filed information
Place telephone calls to provider offices
Oversee incoming and outgoing fax documents
Monitor faxed requests for records and replies
Copy, verify label, sort, prepare batches
File, type, collate, distribute documents
Assemble and scan and/or upload documents
Support Scheduling
Communicate with provider offices efficiently and accurately
Book appointments for HEDIS Audit Staff
Verify information, such as hours and address
Schedule HEDIS office reviews
Confirm next day appointments
Verify addresses for fax and mail
Maintain tracking log and calendar

For More Information:
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Email: info@morganstephens.com

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