HEDIS Data & Records Specialist

Integrated Resources Inc.; Springfield (IL); On-site; USD 40,000 - 60,000; Full time

Job summary

A leading company in healthcare solutions is seeking a HEDIS Coordinator to support project management. The ideal candidate will have experience in managed care and HEDIS processes, responsible for collecting medical data and ensuring compliance. This role requires strong communication skills and familiarity with healthcare regulatory standards, offering a dynamic environment focused on efficiency and quality.

Qualifications

• 2-4 years Managed Care experience required.
• Experience in HEDIS medical record collection and abstraction.
• Basic knowledge of HEDIS and NCQA desired.

Responsibilities

• Coordinate identification, collection, and abstraction of medical records.
• Send and receive medical records via fax or mail.
• Make calls or drive to provider offices for records.

Skills

Verbal communication

Written communication

Multi-tasking

Education

Licensed LVN/LPN, RHIT, or RN for state of IL

Tools

PC-based systems

Job description

A leading company in healthcare solutions is seeking a HEDIS Coordinator to support project management. The ideal candidate will have experience in managed care and HEDIS processes, responsible for collecting medical data and ensuring compliance. This role requires strong communication skills and familiarity with healthcare regulatory standards, offering a dynamic environment focused on efficiency and quality.