HEDIS Record Reviewer

SmartRecruiters, Inc.; Milwaukee (WI); On-site; USD 55,000 - 75,000; Full time

Job summary

Integrated Resources, Inc. is seeking a qualified HEDIS Record Reviewer (RN) to perform detailed medical record review and abstraction for quality reporting.

The role involves work in client offices and community provider sites, handling paper and electronic records. The ideal candidate will hold a Wisconsin RN license, have experience with HEDIS abstraction, familiarity with medical records, and proficiency with PC-based systems.

Qualifications

• Wisconsin RN license is required.
• Experience with HEDIS medical record review and abstraction.
• Familiarity with medical records (paper and electronic).
• Proficiency with PC-based systems and ability to learn new software quickly.
• Ability to interact effectively with healthcare providers.
• Must have personal vehicle and a valid Wisconsin driver's license with insurance.

Responsibilities

• Perform accurate medical record review and abstraction for HEDIS reporting.
• Conduct work in client offices and provider offices with paper and electronic records.
• Capture and secure documentation using an electronic reporting system.

Skills

HEDIS record review

Interacting with healthcare providers

PC-based systems

Ability to learn software quickly

Education

Wisconsin RN license

Tools

PC-based systems

Job description

Integrated Resources, Inc is a premier staffing firm recognized as one of the tri-states most well-respected professional specialty firms. IRI has built its reputation on excellent service and integrity since its inception in 1996. Our mission centers on delivering only the best quality talent, the first time and every time. We provide quality resources in four specialty areas: Information Technology (IT), Clinical Research, Rehabilitation Therapy and Nursing.

Job Description

The HEDIS Record Reviewer performs accurate and efficient medical record review and abstraction for HEDIS reporting to support client critical quality initiatives. Medical record review and abstraction is performed in the client office and at various provider offices in the community, involves paper and electronic medical records, requires capturing and securing documentation, and involves using an electronic reporting system.

Qualifications

State of Wisconsin licensedRN

Previous experience with HEDIS Medical Record Review & Abstraction experiencehighly preferred

Previous experience with medical records/familiarity with medical records (both paper and electronic)

Proficiency with PC-based systems and the ability to learn new information systems and software programs quickly.

Ability to interact effectively with healthcare providers.

A personal vehicle, valid State of Wisconsin motor vehicle operator’s license and conformity with insurance coverage limits is also required.

Additional Information