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HEDIS Medical Record Review Senior-25984-1

El Segundo, California | Contract

Job ID: 55536 Position: Administrative/Clerical/Support Branch: Torrance

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

 

REQUIREMENTS:

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

 

EDUCATION:

RN, LVN/LPN or certified coder

2 years previous on season HEDIS Medical Record Review experience

Rachel Savitt


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