HEDIS Medial Records Retriever RN

Healthcare Support Staffing; Richmond (VA); On-site; USD 48,216 - 55,104; Full time

Benefits offered by this job

Competitive salary

Medical, Dental, and Vision benefits

Fun and positive work environment

Job summary

A leading healthcare staffing agency in Virginia is seeking a qualified RN for medical record retrieval and abstraction work with the HEDIS team. Responsibilities include collaborating with providers, scheduling record extractions, and entering data into a software system. Candidates must possess a clear RN license and relevant experience in medical record review. The role offers competitive pay between $35 and $40 per hour, along with benefits, in a supportive work environment.

Qualifications

• Clear and active RN license in the state of Virginia.
• Graduate of an accredited school of nursing.
• Strong research and analytical skills needed.

Responsibilities

• Retrieve and review medical record data as part of HEDIS.
• Schedule appointments with provider offices for record extraction.
• Enter extracted information into the designated database.

Skills

Research skills

Analytical skills

Communication skills

Medical record review experience

EMR software experience

Education

RN license in the state of VA

Graduate from accredited nursing school

Job description

Anthem, Inc. is working to transform health care with trusted and caring solutions. Our health plan companies deliver quality products and services that give their members access to the care they need. With more than 73 million people served by its affiliated companies including nearly 40 million enrolled in its family of health plans, Anthem is one of the nation's leading health benefits companies.

One in nine Americans receives coverage for their medical care through Anthem's affiliated plans.
We offer a broad range of medical and specialty products.

Job Description

Retrieval, review, and abstraction of medical record data. Data entry into a HEDIS software system. Collaborate with clinical and non-clinical staff in provider offices for medical record retrieval. Candidate must pass a medical record abstraction test prior to starting actual medical record reviews. Onsite training provided to all hired candidates.

Candidate will work with the HEDIS team to collect member records and conduct reviews of these records by contacting providers and placing the results collected into a specific data base. Candidate will be responsible for scheduling appointments with providers’ offices to arrange an onsite visit to conduct medical record extraction. Candidate will also be responsible for possible abstracting pertinent information from a medical record and entering it into a WellPoint medical record tool.

Essential Functions:

• Candidates will schedule appoints with providers’ offices within a designated territory and are responsible for medical record extraction.
• The candidate will be required to send documents to WellPoint via a correspondence delivery system to be determined by the department (i.e. postal mail, fax, scan, etc).

Qualifications

• Clear and active RN license in the state of VA
• Licensed professional graduate of an accredited school of nursing
• Strong research and analytical skills
• Strong medical record review experience
• Experience with EMR (electronic medical records) software
• Effective written, oral, and interpersonal communication skills

Additional Information

Advantages of this Opportunity:

Competitive salary, negotiable based on relevant experience
Benefits offered, Medical, Dental, and Vision
Fun and positive work environment
$35 - $40 per hour
Monday through Friday 8am-5pm