HEDIS Coordinator

DISYS
Newtown, PA Contractor
POSTED ON 12/17/2022 CLOSED ON 1/14/2023

What are the responsibilities and job description for the HEDIS Coordinator position at DISYS?

Job Responsibilities:

  • Will participate in and provide guidance and support for the development and maintenance of the HEDIS Medical Record Review platform(s) to support all plans.
  • Review Roadmap for accuracy General Information, Appendix 1, and Section
  • Coordinate the ongoing Medical Record collection and archiving of documents that support the Medical Record Review Projects, regulatory audits, and accreditation standards.
  • Pull incoming medical records from the fax and copy queues and save to the appropriate plan drive in the designated measurement folders.
  • Review and remediate pended chases by researching claims data, web searches for correct provider demographics
  • Make outgoing calls to validate provider contact information
  • Document findings accurately in HEDIS project tool.

Skills:

  • Experience with HEDIS measures and retrieval tactics
  • 1-3 years Demonstrated expertise in project coordination, office management, medical record collection, medical terminology, call center, creating and managing central data repositories and data management systems for an office or large department.
  • Knowledge of medical terminology and basic charting
  • MS Publisher, Visio, Excel, power point, Share Point and other web base applications

Education:

  • HS Diploma or GED; Bachelors’ Degree Preferred; Medical Terminology Preferred

Job Type: Contract

Pay: $19.00 - $21.00 per hour

Schedule:

  • 8 hour shift
  • Day shift
  • Monday to Friday

Ability to commute/relocate:

  • Newtown Square, PA 19073: Reliably commute or planning to relocate before starting work (Preferred)

Education:

  • Bachelor's (Preferred)

Experience:

  • HEDIS: 2 years (Preferred)
  • Medical records: 2 years (Preferred)

Work Location: One location

Salary : $19 - $21

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