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Remote HEDIS Medical Record Review Nurse

Job is Expired
Location: Florida, Georgia, Illinois, Michigan, Missouri, New Jersey, New York, North Carolina, Ohio, Pennsylvania, Tennessee, Texas, Virginia
Compensation: To Be Discussed
Staff Reviewed: Mon, Jan 07, 2019
Job Category: Healthcare, Quality Assurance
Weekly Hours: Full Time
Employer Type: Employer
Career Level: Experienced
Education Level: Some College

Job Summary

A healthcare solutions company needs applicants for an opening for a Remote HEDIS Medical Record Review Nurse.

Individual must be able to fulfill the following responsibilities:

  • Contacting provider offices to establish appointment times to complete medical record reviews
  • Completing comprehensive and thorough medical record reviews
  • Entering record review results into NCQA certified software

Qualifications for this position include:

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

COMPLETE JOB DESCRIPTION

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