Description: Our client is currently seeking a HEDIS Abstractor - Nurse
This job will have the following responsibilities:
HEDIS experience. Must be comfortable reviewing electronic medical records; working with dual monitors.
HEDIS experience. Must be comfortable reviewing electronic medical records; working with dual monitors.
Monday - Friday 7:00AM - 7:00PM
Abstractor/Research will be responsible for reviewing a high volume of medical records with high skilled accuracy.
Testing/IRR with passing score required prior to start date and continues throughout project. Productivity standards to be met. Training on claims systems will also be provided for Researchers as needed.
Must be flexible in this fast paced environment with changing priorities throughout project.
Qualifications & Requirements:
EDUCATION AND EXPERIENCE: Requires a licensed nurse; RN, LPN, LVN, Licensed professional graduate of an accredited school of nursing.
Candidates must have computer skills and analysis capabilities in order to navigate CPT4 code and ICD9 and ICD10 DX based on HEDIS Technical Specification requirements.
Candidates must have an understanding of codes for services based on diagnosis and procedure.
They must be research and detail oriented with the tenacity to find claim specific data for a specific measure within a given period of time. Knowledge of Microsoft office is required. Requires effective written, oral, and interpersonal communication skills.
It is preferred that candidates have basic Excel skills and the ability to type 30-40 WPM. Prior HEDIS experience a plus.
Contact: khawkins@judge.com
This job and many more are available through The Judge Group. Find us on the web at www.judge.com
