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HEDIS Specialist
Location:
North Charleston, SC
Description:
Experience pertaining to health care quality improvement or clinical research. Highly desiredFamiliarity with ICD-9 and CPT coding. Highly desiredExperience with abstracting clinical information from medical records. RequiredClinical experience in women's health care, diabetes, pedciatrics or obstetrics. Highly desiredExperience with the use of Windows-based PC applications with emphasis on word processing, database, and spreadsheet software. RequiredKnowledge of NCQA HEDIS abstracting guidelines. Highly desiredLive in Charleston, Berkeley, or Dorchester counties RequiredCurrent unrestricted SC Licensed Practice Nurse, Certified Professional Coder, Certified Medical Records Auditor, RHIT, or RHIAExperience pertaining to health care quality improvement or clinical research preferred;Familiarity with ICD-9 and CPT coding preferred. Experience with abstracting clinical information from medical records;Clinical experience in women?s health care, diabetes, pediatrics or obstetrics preferred;The ability to consistently apply clinical audit criteria with at least a 99% inter-rater reliability;The ability to consistently enter the results of clinical audits into a database with at least a 99% inter-rater reliability;The ability to appropriately evaluate medical records and other health care data; Organized, accurate, detail-oriented;Able to think and work effectively under pressure;The ability to function effectively within multidisciplinary teams;Experience with the use of Windows-based PC applications with emphasis on word processing, database, and spreadsheet software (e.g., MS Word and Excel) preferred;Knowledge of NCQA HEDIS abstracting guidelines preferred; Ability to plan and organize data collection activities;Ability to communicate effectively both orally and in writing; Knowledge of the concepts of managed health care;Ability to establish and maintain effective and cooperative working relationship with staff and others contacted in the course of the work;Ability to maintain confidentiality of sensitive medical information; Knowledge of The HIPAA Privacy and Security RulesAbility to accurately complete tasks within established times; Ability to effectively prioritize multiple tasks and deadlines. Performs medical records abstraction in support of annual The Healthcare Effectiveness Data andInformation Set (HEDIS), with duties including but not limited to:Applies structured auditing criteria to medical records to determine compliance with standardsMaintains productivity level as determined by the QualityImprovement Director;Accurately enters the results of chart audits into a database Monitors progress towards completion of the annual HEDIS chart abstraction process; Maintains a less than 1% error rate in record abstraction and data entry.Utilizes various software applications (e.g.,, Quality Spectrum Insight, Excel and Word) to supportHEDIS operations; andAs required: visits to provider sites to identify copy and collect selected medical recordsPerforms additional duties as assigned.
Company:
Pozent
Posted:
April 25 on PostJobFree
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More About this Listing: HEDIS Specialist
HEDIS Specialist is a Jobs Hedis Specialist Job at Pozent located in North Charleston SC. Find other listings like HEDIS Specialist by searching Oodle for Jobs Hedis Specialist Jobs.
HEDIS Specialist is a Jobs Hedis Specialist Job at Pozent located in North Charleston SC. Find other listings like HEDIS Specialist by searching Oodle for Jobs Hedis Specialist Jobs.