HEDIS RN - Kansas City - MO

Date Posted: 11/08/2019

HEDIS RN – Kansas City

Crown Center area

Pay: $32 – 34/hr. based on experience

Duration: 3 months, could go longer

Summary:

• This role performs Healthcare Effectiveness Data and Information Set (HEDIS) medical record abstraction and engages in HEDIS-related rate improvement activities.

Responsibilities:

• Performs detailed review of medical records to determine compliance with HEDIS measures.
• Reviews and analyzes medical record data abstracted by other staff to insure accuracy of data recorded.
• Serves as subject matter expert for NCQA HEDIS measures requiring medical record review based on experience.
• Interacts with care coordinators and facilitators in the physician offices as a subject matter expert providing education and consultation for the medical record chase process.
• Performs other related duties as needed.
Background Needed:
• Bachelor’s /Associate’s degree in nursing with current licensure in MO and KS
• LPN OR RN with previous HEDIS abstraction experience with current licensure in MO and KS
• Experience working with physician medical records
• Expertise using Microsoft Word & Excel to review and manipulate data
Preferred Qualifications:
• Delivering High Quality Work - Critically reviews work processes to ensure quality; addresses problems that could impact quality; makes sure project deliverables and services meet all requirements and expectations.
• Displaying Technical Expertise - Keeps his/her technical skills current; effectively applies specialized knowledge and skills to perform work tasks; understands and masters the technical skills, knowledge, and tasks associated with his/her job; shares technical expertise with others.
• Establishing Relationships - Able to relate to all kinds of people regardless of background; finds topics and common interests that he/she can use to build rapport with others.
• Serving Customers - Builds strong relationships with customers; stays aware of customer needs, concerns and satisfaction; responds promptly to customer questions and requests; effectively manages customer expectations.


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