Job Summary
A health management solutions company is filling a position for a Telecommute HEDIS Registered Nurse in St Louis.
Core Responsibilities of this position include:
- Entering record review results into NCQA certified software
- Completing comprehensive and thorough medical record review
- Contacting provider offices to establish appointment time
Qualifications for this position include:
- Remote plus travel
- 3+ years of experience in acute healthcare setting
- Associates Degree in a healthcare related field
- Unrestricted licensure as a Registered Nurse or LPN
- 3+ years of experience with HEDIS Medical Record Review
- Knowledge of CPT codes, ICD-9 Diagnosis codes and HEDIS Technical Specification Requirements
