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HEDIS Medical Record Analyst - Temporary Role

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Cambia Health Solutions, Inc

2024-11-05 05:39:36

Job location Portland, Oregon, United States

Job type: fulltime

Job industry: Healthcare & Medical

Job description



HEDIS Medical Record Analyst - Temporary Role

Work from home within WA, OR, ID, UT

Those outside of our 4 State footprint will not qualify for this role.


  • This position will start January 6th and the assignment will be for approximately 4-5 months.

  • The base pay range for this temporary role is $42.00-$50.00 an hour DOE. This is a non-benefited role.

Build a career with purpose. Join our Cause to create a person-focused and economically sustainable health care system.



Who We Are Looking For:

Every day, Cambia's dedicated team are living our mission to make health care easier and lives better.

The HEDIS Medical Record Analyst's primary responsibilities will be to retrieve, abstract, or over read medical records in order to capture pertinent, required, data elements for HEDIS reporting. The core responsibilities of this role may include but are not limited to:



What You Bring To Cambia:

Qualifications:

  • HEDIS Medical Record experience highly preferred

  • Associate degree in Nursing or related field and 3 years of experience in a clinical setting,

  • Working with medical records, and/or experience with EMR/EHR systems or equivalent combination of education and experience.

Skills and Attributes:

  • Excellent interpersonal skills and ability to work effectively in team environment.

  • Demonstrated command of medical terminology, navigating EMR/EHR systems, medical record documentation, and clinical processes.

  • Demonstrated problem solving ability.

  • Knowledge of Microsoft office products desirable.

  • Understanding of HIPAA.

  • Knowledge of ICD-9 and 10-CM, CPT, HCPCS and DRG coding conventions a plus.

  • Knowledge of FACETS a plus

  • Experience with quality oversight and teaching desired.

  • Prior experience in HEDIS and medical record retrieval and/or abstraction for quality or research projects.

Required Licenses, Certifications, Registration, Etc.

One of the following is preferred:

  • Valid Registered Nursing (RN/LVN/LPN)

  • CPC - Certified Professional Coder

  • CCS - Certified Coding Specialist



What You Will Do at Cambia:

  • Collects assigned medical records from EMR/EHR systems and prepares them for medical record abstraction

  • Documents retrieval progress/findings for each EMR accessed.

  • Communicates effectively and professionally with provider offices.

  • Reviews assigned medical records in order to abstract specified, clinical data elements for HEDIS reporting (e.g. date of service of breast cancer screening, date of service and results of laboratory tests related to chronic conditions)

  • Documents abstraction findings on appropriate paper and/or electronic tools as directed by the HEDIS MR Team.

  • Communicates additional pursuit strategies, if needed, to other members of the team as defined in the department's policies and procedures. (e.g. requests a call back to provider office to ask for additional clarifying information.)



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