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HEDIS Medical Record Review Senior-25984-1
El Segundo, California | Contract
EXCITING 5 MONTH CONTRACT OPPORTUNITY FOR HEDIS MEDICAL RECORD REVIEWER IN EL SEGUNDO!
Day to Day Responsibilities of this Position and Description of Project:
This position will be in support of the HEDIS Medical Record Review (MRR) cycle. The individuals will work directly with HEDIS MRR Program Manager and other medical record reviewers to review medical record.
- Primary responsibility will be to perform medical record review, & enter findings into abstraction tool (Inovalon QSHR) and to over read
- Identify chase opportunities & track progress
- Coordinate with Program Manager, and administrative staff to manage caseload for teams
- Communicate with team members to effectively manage project assignment
Communicate with healthcare providers
Minimum 2 years of on-season HEDIS Medical Record Review experience
Must be proficient with computers
Ability to navigate and read clinical medical records in looking for specifically sought information
Strong attentional to detail
Experience with Inovlaon, QSHR, Right Fax, Adobe Standard and MS Office Suite
Travel required 3% of the time
RN, LVN/LPN or certified coder
2 years previous on season HEDIS Medical Record Review experience