HEDIS Retriever

SmartRecruiters, Inc.; Spring Hill (FL); On-site; USD 60,000 - 90,000; Full time

Benefits offered by this job

Medical insurance

Dental insurance

Vision insurance

Flexible schedules

Training & development

Job summary

HealthCare Support Staffing, Inc. (HSS) is a national healthcare recruiting and staffing firm seeking qualified professionals for data-driven roles focusing on HEDIS measurements and audits.

The position emphasizes compliance, reporting, and collaboration with regulatory agencies to ensure quality care delivery. The role supports RN, LPN, Medical Coder, or Medical Records Specialist candidates with full-time hours, Monday–Friday daytime, and opportunities for professional development within a

Qualifications

• Must be RN, LPN, Medical Coder, or Medical Records Specialist.
• 3+ years of experience with HEDIS measurements and HEDIS auditing.
• Managed Care experience.

Responsibilities

• Collects data for ambulatory medical record reviews and compliance with provider preventive health and chronic disease outcome improvement interventions
• Prepares reports and quality improvement studies in an accurate, concise and timely fashion
• Conducts internal auditing for compliance with regulatory and accreditation standards, and monitors and provides consultation to departments to correct deficiencies
• 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)

Skills

HEDIS auditing

HEDIS measurements

Managed Care experience

RN licensure

LPN licensure

Medical Records 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.

Job Description

Daily Responsibilities:

• Collects data for ambulatory medical record reviews and compliance with provider preventive health and chronic disease outcome improvement interventions
• Prepares reports and quality improvement studies in an accurate, concise and timely fashion
• Conducts internal auditing for compliance with regulatory and accreditation standards, and monitors and provides consultation to departments to correct deficiencies
• 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:

• Must be RN, LPN, Medical Coder, or Medical Records Specialist
• 3+ years of experience with HEDIS measurements and HEDIS auditing
• Managed Care experience

Additional Information

Are you an experienced RN, LPN, Medical Coder, or Medical Records Specialist with HEDIS experience looking for a new opportunity with a prestigious healthcare company? Do you want the chance to advance your career by joining a company that provides on-going training and development? Are you interested in working for a company that offers benefits for full-time permanent employees, flex schedules and the opportunity to grow with the company? If you answered “yes” to any of these questions – this is the position for you!