HEDIS Medical Records Data Clerk

W3R Consulting

Illinois

On-site

USD 42,000 - 64,000

Full time

5 days ago

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Job summary

W3R Consulting is seeking staff to support the HEDIS Effectiveness Data and Information Set project by reviewing medical records under supervision of the HEDIS Coordinator. Responsibilities include data entry, scanning, and coordinating with QI Specialists to resolve issues, while maintaining HIPAA compliance.

The role requires extensive experience in data entry, strong communication, and familiarity with medical terminology.

Qualifications

7+ years experience.
High School Diploma or GED. Medical Assistant preferred.
Customer service skills.
Data entry and/or typing experience.
PC proficiency to include Word, Excel and Lotus Notes.
Clear and concise written and verbal communication skills.
Knowledge of medical terminology is helpful.

Responsibilities

Obtain medical record data from PO Box and distribute for scanning purposes.
Scan in all paper documents obtained from mail or fax. Identify member to the appropriate measure.
Utilizes various software applications to support HEDIS operations by entering data or changing chase status pertaining to medical records.
Meets with HEDIS Coordinator and/or QI Specialists to discuss HEDIS efforts and open issues.
Advise the appropriate staff person of requests for incoming medical record data.
May be directed to call a provider office to follow up on requests for medical records.
Routes all complex issues to Quality Improvement Specialists/HEDIS Coordinator.
Maintains compliance with HIPAA and patient confidentiality requirements.
All other duties as assigned.