Job description
Overview:
#LI-Remote
The HEDIS Abstractor will function as support of the HEDIS Team during the traditional HEDIS season and/or during off-season projects. THE HEDIS Abstractor will perform at minimum abstraction of assigned measures and training as part of their responsibilities.
Responsibilities:
- Works in conjunction with HEDIS Team Leads and/or HEDIS Management to complete training and subsequent abstraction by measure specific team assignment.
- Abstraction includes medical record review of specific measure criteria and entering findings into abstraction tool. Medical records could either be part of an electronic medical record (EMR) or digital records (i.e. PDF).
- Will escalate matters to HEDIS Team Leads or HEDIS Manager as appropriate.
- Collaborates with other HEDIS Abstractors and will always demonstrate Cotiviti core values.
- Will adhere to compliance of the remote policy, HIPAA regulations, professional conduct and ethical practice.
- Completes all special projects and other duties as assigned.
- Must be able to perform duties with or without reasonable accommodation.
- High school diploma or higher required. Current licensed Registered Nurse or certified Medical Coder required.
- Minimum of 2 years of experience with NCQA HEDIS Hybrid measure abstraction or a minimum of 4 years of clinical experience as either a licensed Registered Nurse or certified Medical Coder
- Experience working with HEDIS data entry software and reporting tools or experience with data entry in an EMR (Electronic Medical Record)
- Experience working remotely on team projects
- Must be comfortable communicating via various modes (email, IM, phone) in a timely manner.
- Must be comfortable using/learning Microsoft Office products (SharePoint, Outlook. Teams, Word, Excel, etc.)
Job Demands
- This is a seasonal role and the HEDIS season will start Tuesday, January 17, 2023 (running through the first week of May...this is an estimate). You must be able to work on January 17th starting at 9 AM ET - 12 PM ET. Additionally, you will need to work 20 hours throughout the first week to accomplish required training (this is self paced and hours/days can vary).
- You must be able to work a minimum of 15 hours per week and can work up to 40 hours per week (days/working times are flexible).
- This position is a remote working position but you must be working in the United States. Access to high-speed internet and secure working environment is required. All equipment will be provided.
#LI-Remote
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