Industry: Health care
Job Title: Quality Clinical Management Analyst / HEDIS Nurse
Duration: 4 Months
This position is strictly onsite in Phoenix, AZ
The Healthcare Effectiveness Data and information Set (HEDIS) Nurse Abstractor works under the direction of the HEDIS Clinical Measurement and Improvement Lead and other personnel to collect and review medical records.
The HEDIS Nurse Abstractor will abstract pertinent medical record data and enter it into a specified data base to support HEDIS reporting.
Daily Activities include review and abstraction of medical records, electronic data entry into project specific computer software, and telephonic outreach to provider offices and vendors to collect medical records.
Candidate must be able to work in a fast paced environment and adhere to measured productivity and accuracy requirements
The candidate is required to attain a score of 100% on specific measure testing prior to conducting live medical record reviews and to achieve and maintain a quality reliability score of 95% to remain eligible for employment for the duration of the project.
Other duties required can include, but are not limited to, extraction of medical records from electronic storage devices, faxing, scanning, electronic filing, internet and other research activities using proprietary systems, and telephonic outreach.
Follow established procedures for conducting chart abstractions
Extracts electronic medical record data using multiple systems
Enters pertinent data from medical records into database as required by established abstraction procedures
Communicates effectively and professionally with provider offices and vendors
Meet or exceed productivity and accuracy requirements
Other duties as assigned by Market Lead, Regional Lead, or Regional Manager
The candidate will possess:
Ability to work independently and in team environment
Excellent time management and prioritization skills
Excellent communication skills (written and verbal)
Strong attention to detail
Flexibility with assignment changes
Strong computer experience, (i.e.., Data entry, MS Word, Excel, PDF, Skype, Outlook)
Must be comfortable working with dual monitors and multiple software applications simultaneously
Must be able to perform internet research
Candidates MUST possess previous HEDIS experience, at least 1 - 3 years is required
RN or LPN/LVN license Required
3 or more years of HEDIS or other medical record review experience preferred
Computer experience (i.e., Excel, Word, Outlook) required
HEDIS , Registered Nurse, LPN, LVN, Licensed Vocational Nurse, Licensed Practical Nurse