Remote HEDIS Medical Record Review Nurse

Job ID: Available for Members

Location: Alabama, Arizona, Arkansas, California, Colorado, Connecticut, Delaware, District of Columbia, Florida, Georgia, Idaho, Illinois, Indiana, Iowa, Kansas, Kentucky, Louisiana, Maine, Maryland, Massachusetts, Michigan, Minnesota, Missouri, Montana, New Hampshire, New Jersey, New Mexico, North Carolina, Ohio, Oregon, Pennsylvania, Rhode Island, South Carolina, Tennessee, Texas, Utah, Virginia, Washington, Wisconsin

Compensation: To Be Discussed

Posted: Tuesday, October 30, 2018

Job Category: Healthcare, Investigations, Nursing

Telecommute Level: Occasionally

Travel Requirements: Field Travel Required, Some Travel

Weekly Hours: Full Time

Employer Type: Employer

Career Level: Experienced

Education Level: Some College

Job Summary

A health management solutions company has a current position open for a Remote HEDIS Medical Record Review Nurse.

Candidates will be responsible for the following:

  • Entering record review results into NCQA certified software.
  • Contacting provider offices to establish appointment time to complete medical record reviews
  • Conducting investigation to identify potential locations for medical records

Required Skills:

  • Local travel may be required
  • 3+ years of experience in acute healthcare setting
  • 3+ years of experience with HEDIS Medical Record Review
  • Associates Degree in a healthcare related field
  • Unrestricted Missouri/Illinois licensure as a Registered Nurse or LPN
  • Proficiency in MS Office applications
  • Knowledge of CPT codes, ICD-9 Diagnosis codes and HEDIS Technical Specification Requirements