Careers

HEDIS Coordinator

HEDIS Coordinator – Experienced

POSITION SUMMARY

Provider Support:

• Establish positive, consultative relationships with assigned Physician offices.

• Work with provider offices on education, documentation, and submission to plans • Assist provider offices to setup EMR templates and checklists.

• Review and abstract medical records from EMR and / or paper charts.

Coordination:

• Coordinate with health plans, vendors, etc. to complete assigned projects / tasks • Coordinate with team to oversee review, extraction, and submission • Coordinate with other department’s team members on quality related tasks.

EXPERIENCE:

RN, LPN, Managed Care setting or Quality Management experience preferred.

• Must have proficiency in health care related applications, EMR, Word, Excel, and a basic understanding of database management.

• Must be able to abstract data, and present data in clear reporting formats to support comparison and analysis.

• Knowledge base of clinical standards of care, preventive health standards, HEDIS, NCQA, governing and regulatory agency requirements, and the managed care industry.

• Must have analytical skills sufficient to assess and identify variations in data and processes.

• Ability to evaluate medical records and data with attention to detail • Ability to interact with medical staff, peers, and internal company staff at all levels.