HEDIS RN / LPN

Company Description

HealthCare Support Staffing, Inc. (HSS), is a proven industry-leading national healthcare recruiting and staffing firm. HSS has a proven history of placing talented healthcare professionals in clinical and non-clinical positions with some of the largest and most prestigious healthcare facilities including: Fortune 100 Health Plans, Mail Order Pharmacies, Medical Billing Centers, Hospitals, Laboratories, Surgery Centers, Private Practices, and many other healthcare facilities throughout the United States. HealthCare Support Staffing maintains strong relationships with top providers in healthcare and can assure healthcare professionals they will receive fast access to great career opportunities that best fit their expertise. Connect with one of our Professional Recruiting Consultants today to see how a conversation can turn into a long-lasting and rewarding career!

Job Description

HEDIS Operations combines talented individuals from many areas of quality, including HEDIS, CAHPS and Accreditation. Our goal is extraordinary performance that exceeds the expectations of the constituents, customers and members we serve. 

In this position, you will work with the HEDIS Operations staff to assist with the 2016 data collection cycle. 

The purposes of this role include, but are not limited to: 

1. Medical record review and collection 

2. Abstraction and data entry for HEDIS and HEDIS-like measures 

3. Over read of medical records 

The candidate must be technically savvy and must be able to work without distraction. This is a high production environment, and candidates must adhere to measured productivity requirements. 

Responsibilities: 

• Performs provider/practitioner medical record reviews, abstraction and data entry for HEDIS and HEDIS-like measures as part of HEDIS Operations 

• Reviews assigned medical records in order to abstract clinical data elements for HEDIS reporting, e.g., results of laboratory tests, verification of hypertension and the most recent blood pressure reading, prenatal and postpartum care services 

• Integrates data collected from a variety of electronic and paper sources 

• Identifies findings supported by documentation guidelines with high level of accuracy 

• Documents abstraction findings in HEDIS database tool 

• Maintains HIPAA standards and confidentiality of protected health information; reports critical incidents immediately 

• Communicates identification of pursuit leads for additional medical records, if needed, to other members of the team 

• Attends conference calls as necessary to provide information relating to clinical reviews and compliance 

• Successfully completes HEDIS technical specification training and testing 

• Successfully completes HEDIS software training and uses software correctly 

• Is responsible for meeting daily abstraction production goal 

• Is responsible for meeting and maintaining quality requirement of 95% abstraction accuracy 

• Performs other duties as assigned 

Qualifications

• Clinical degree highly preferred, including, but not limited to: RN, LVN, LPN 

• Current, unrestricted state license in applicable field 

• Experience working with HEDIS software (data entry, reporting) at least one year

• Experience in medical record review (vendor or health plan; onsite or fax/mail) 

• Experience working in EMR systems

Additional Information

Hours: Monday-Friday Daytime Hours

Pay rate: Depends on License/Experience

Interested in being considered? 

If you are interested in applying to this position, please contact Courtney Phelps at 407-636-7030 x 207 and click the Green I’m Interested Button to email your resume.