HEDIS & Population Health Records Technician

Community Health Of South Florida Inc; Miami (FL); On-site; USD 24,000 - 33,000; Full time

Job summary

Community Health Of South Florida Inc. seeks a Population Health Compliance Technician in Miami, FL. The role focuses on collecting and abstracting medical records for HEDIS measures, ensuring HIPAA compliance and accurate coding under supervision.

Ideal candidates will have a high school diploma, a medical coding program, CPR certification if possible, and familiarity with EHR and practice management software. Bilingual in English/Spanish is preferred.

Qualifications

• Graduate from a Standard High School or GED Equivalent.
• Graduate from an approved Medical Coding Program, Medical Assisting preferred.
• CPR certification (American Heart Association) preferred or current.

Responsibilities

• Perform accurate and comprehensive reviews of medical records for HEDIS measures.
• Audit high volumes of medical records to ensure correct code assignment.
• Multitask and troubleshoot problems independently.
• Ensure accurate data entry for claim submission.
• Review medical records, perform data abstraction and quality tasks.
• Schedule PCP visits for health risk assessments, preventative care and chronic care management.
• Participate in Performance Improvement Activities and continued education.
• Maintain licensure and/or certificates and interpret medical documents.
• Read and interpret documentation, prioritize tasks and meet deadlines.
• Navigate practice management and EHR software efficiently.
• Treat clients and colleagues with courtesy and professionalism.

Skills

Medical Terminology

Keyboard

Medicare Knowledge

NCQA HEDIS

ICD9/CPT coding

Basic computer skills

Bilingual EN/ES

Education

High School diploma or GED

Medical Coding Program

Tools

EHR software

Practice management software

Job description

Community Health Of South Florida Inc. seeks a Population Health Compliance Technician in Miami, FL. The role focuses on collecting and abstracting medical records for HEDIS measures, ensuring HIPAA compliance and accurate coding under supervision.

Ideal candidates will have a high school diploma, a medical coding program, CPR certification if possible, and familiarity with EHR and practice management software. Bilingual in English/Spanish is preferred.