Data Entry Operator

VIVA USA Inc; Chicago (IL); On-site; USD 65,000 - 90,000; Full time

Job summary

VIVA USA Inc. seeks a seasoned HEDIS Data Abstraction Specialist in Chicago to support the HEDIS Effectiveness Data and Information Set project. You will review and abstract medical records, ensure accuracy, and maintain low documentation errors while following NCQA guidelines and HIPAA standards.

The role requires 7+ years of experience, knowledge of medical terminology, and strong data entry skills. Proficiency in Word, Excel, and Lotus Notes is essential, with auditing experience viewed as a

Qualifications

• 7+ years of experience in medical record review or HEDIS environment.
• Knowledge of medical terminology and data abstraction.
• Clear and concise written and verbal communication skills.
• Data entry and/or typing experience.
• Proficiency with Word, Excel, and Lotus Notes.
• Auditing experience is helpful.

Responsibilities

• Review and abstract medical records according to specifications and training guidelines.
• Use software applications to support HEDIS operations by entering data and updating chase status.
• Make notations on electronic records of qualifying HEDIS data.
• Perform accurate data entry and identify patterns of missing documentation for additional records.
• Maintain a documentation error rate under 5% in record abstraction and data entry.
• Follow HIPAA and patient confidentiality requirements.
• Collaborate with HEDIS Coordinator/QI Specialists to discuss efforts and open issues.

Skills

Medical terminology

Data entry

Communication skills

Auditing

HIPAA compliance

PC proficiency

Tools

Word

Excel

Lotus Notes

Job description

Will work under the supervision of the HEDIS Coordinator. They are a member of the medical record review team. The team is responsible for obtaining and performing accurate comprehensive reviews of medical records in support of The HEDIS Effectiveness Data and Information Set project. HEDIS reviews are completed in accordance with NCQA guidelines and technical specifications.

JOB REQUIREMENTS:
7+ Years
experience
Knowledge of medical terminology
Data entry and/or typing experience.
Clear and concise written and verbal communication skills.
PC proficiency to include Word, Excel and Lotus Notes.
Auditing experience helpful

DUTIES AND RESPONSIBILITIES:
Reviews and abstracts medical records according to specifications and BCBSIL training guidelines.
Utilizes various software applications to support HEDIS operations by entering data and / or changing chase status for the identified chase(s).
Makes notations on the electronic record of qualifying HEDIS data.
Performs accurate data entry as well as seeks out patterns of missing documentation for additional records.
Maintains a less than 5% documentation error rate in record abstraction and data entry.
Accepts instruction from the Overreader on abstraction errors with re-education regarding the measure.
Maintains productivity level as determined by the HEDIS Coordinator/QI Department.
Meets with HEDIS Coordinator and / or QI Specialists to discuss HEDIS efforts, any open issues and can include IRR results.
Maintains compliance with all HIPAA and patient confidentiality requirements.
All other duties as assigned.

VIVA is an equal opportunity employer. All qualified applicants have an equal opportunity for placement, and all employees have an equal opportunity to develop on the job. This means that VIVA will not discriminate against any employee or qualified applicant on the basis of race, color, religion, sex, sexual orientation, gender identity, national origin, disability or protected veteran status