Remote HEDIS Medical Records Review Nurse

Job ID: Available for Members

Location: Florida, Georgia, Illinois, Michigan, Missouri, New Jersey, New York, North Carolina, Ohio, Pennsylvania, Tennessee, Texas, Virginia

Compensation: To Be Discussed

Staff Reviewed: Mon, Feb 11, 2019

This job expires in 19 days

Job Category: Healthcare, 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 healthcare company is in need of a Remote HEDIS Medical Records Review Nurse.

Individual must be able to fulfill the following responsibilities:

  • Contact provider offices to establish appointment times
  • Complete comprehensive and thorough medical record reviews
  • Extract medical record data per NCQA specifications

Position Requirements Include:

  • 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
  • Proficiency in MS Office applications
  • Knowledge of CPT codes, ICD-9 Diagnosis codes and HEDIS Technical Specification Requirements