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HEDIS Coordinator - 34326-1

El Segundo, CA 90245

Employment Type: Contract Position: Administrative/Clerical/Support Job Number: 57163 Branch: Rancho Cordova


HEDIS Coordinator Needed - El Segundo, CA

This position will be in support of retrieving charts for the HEDIS Medical Record Review (MRR) annual project. The HEDIS Coordinator will work directly with HEDIS MRR Program Manager, the Administrative Leads and assigned MRR Reviewers to coordinate the detailed work of the reviewers as part of the overall process.
  • Call provider offices & hospitals to request medical records. Call members to identify date & provider of HEDIS service
  • Record progress, data entry in abstraction tool (Inovalon QSHR software)
  • Coordinate with Administrative Lead and Medical record reviewers to manage caseload
  • Communicate with BSC MRR Team to effectively manage project assignment
  • Will work as a member of a team to coordinate and maintain a system to organize the medical records and other materials/resources which are required for the overall MRR processes to work and flow effectively
  • Make follow-up calls regarding expected charts, provide information to offices
  • Monitor RightFax, email inbox, SFTP, scan medical records, send fax requests to providers, prepare and sort received mail
  • Research provider information and claims information using online websites/internal applications
  • Daily use of Microsoft Excel to manage various projects and report to leads on progress and barriers
  • Perseverance to find the correct information to retrieve the medical record
  • Other duties as assigned, including possible minimal traveling

Job Type: Full-time

Salary: $15.00 to $17.00 /hour

Alana Klingman
Recruiting Manager

Alana is a native Huntington Beach resident making the move to Sacramento just a few years ago. She comes with over 15 years of experience in full cycle healthcare recruiting and thoroughly enjoys every aspect of her job. Receiving a new client order and placing a qualified applicant is truly an excitement each and every time. Her goal at the end of every day is to leave a positive impression with everyone she works with including letting the candidates know that she is on their side. She strives to fill every client need that comes across her desk with a candidate that can call that place of business HOME. When she is not hard at work Recruiting, Alana spends her free time attending local family events, trying new eateries and perfecting DIY home projects she found on Pinterest.

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