HEDIS Quality Improvement Retriever

Healthcare Support Staffing; Sarasota (FL); On-site; USD 60,000 - 85,000; Full time

Benefits offered by this job

Competitive salary

Medical, Dental, and Vision benefits

Positive work environment

Job summary

A leading healthcare staffing agency in Florida is seeking a candidate for a position focusing on data collection for ambulatory medical record reviews, preparing reports, and conducting compliance audits. Ideal candidates will have nursing or medical coding experience and at least 3 years in HEDIS. This position offers a competitive salary, benefits, and a fun work environment. If you're looking to advance your career with a prestigious healthcare company, this may be the opportunity for you.

Qualifications

• 3+ years of experience in HEDIS is essential.
• Experience in nursing or medical coding is required.
• Familiarity with medical terminology and coding (CPT/ICD-9).
• Managed care experience

Responsibilities

• Collect and analyze data for medical record reviews.
• Prepare reports and conduct internal audits for compliance.
• Communicate with external data sources for data collection.
• Assist with site visit preparations for regulatory agencies.
• Collects and summarizes performance data and identifies opportunities for provider improvement
• Participates in site visit preparation and execution by regulatory and accreditation agencies (State agencies, CMS, AAAHC, URAC, NCQA,EQRO).

Skills

Nursing

Medical Coding

Medical Records

HEDIS experience (3+ years)

CPT/ICD-9 coding

Managed care experience

Managed care experience

Job description

HealthCare Support Staffing, Inc. (HSS), is a proven industry-leading national healthcare recruiting and staffing firm. HSS has a proven history of placing talented healthcare professionals in clinical and non-clinical positions with some of the largest and most prestigious healthcare facilities including: Fortune 100 Health Plans, Mail Order Pharmacies, Medical Billing Centers, Hospitals, Laboratories, Surgery Centers, Private Practices, and many other healthcare facilities throughout the United States. HealthCare Support Staffing maintains strong relationships with top providers in healthcare and can assure healthcare professionals they will receive fast access to great career opportunities that best fit their expertise. Connect with one of our Professional Recruiting Consultants today to see how a conversation can turn into a long-lasting and rewarding career!

Job Description

Daily Responsibilities:

• Collects data for ambulatory medical record reviews
• Prepares reports and quality improvement studies in an accurate, concise and timely fashion
• Conducts internal auditing for compliance with regulatory and accreditation standards
• Communicates with external data sources as needed to gather data necessary to measure identified outcomes
• Collects and summarizes performance data and identifies opportunities for provider improvement
• Participates in site visit preparation and execution by regulatory and accreditation agencies (State agencies, CMS, AAAHC, URAC, NCQA,EQRO).

Hours for this Position:

• Monday-Friday daytime hours

Advantages of this Opportunity:

• Competitive salary, negotiable based on relevant experience
• Benefits offered, Medical, Dental, and Vision
• Fun and positive work environment

Qualifications

Requirements:

• Nursing, Medical Coding, or Medical Records experience required
• 3+ years of HEDIS experience
• Medical terminology and/or experience with CPT/ICD-9 coding
• Managed care experience

Additional Information

Are you an experienced Registered Nurse, Licensed Practical Nurse, or Medical Coder looking for a new opportunity with a prestigious healthcare company? Do you want the chance to advance your career by joining a rapidly growing company? If you answered “yes" to any of these questions – this is the position for you!

Interested in hearing more about this great opportunity? Reach out to Amanda Hammer at 407-636-7030 x201 for immediate consideration.