HEDIS Specialist

Healthcare Support Staffing; Troy (MI); On-site; USD 48,216 - 55,104; Full time

Job summary

A leading healthcare recruiting firm is seeking an experienced HEDIS Specialist in Troy, Michigan. You will coordinate the annual HEDIS project by supporting the collection and abstraction of medical records. The ideal candidate must hold a valid RN license or equivalent and have over 5 years of medical record abstraction and managed care experience. The role offers competitive pay between $35-$40 per hour, day shifts, and potential overtime during busy months.

Qualifications

• 5+ years of medical record abstraction experience is mandatory.
• 5+ years managed care experience required.
• Valid driver's license needed for local travel.

Responsibilities

• Coordinate the identification, collection, and abstraction of medical records.
• Assist with HEDIS medical record review preparations.
• Identify member service gaps based on data from HEDIS application.

Skills

Medical record abstraction experience

Managed care experience

Basic knowledge of HEDIS and NCQA

Basic Microsoft Office Products

Education

Valid RN license in MI

Registered Health Information Technician (RHIT)

Certified Medical Record Technicians

Tools

HEDIS software

Adobe

Nitro PDF

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

Are you an experienced HEDIS Specialist 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 as a HEDIS Specialist? If you answered “yes" to any of these questions – this is the HEDISSpecialistposition for you!

Daily Responsibilities

• Under the direction of the HEDIS Program Manager, supports the annual HEDIS project management by coordinating the identification, collection and abstraction of medical records and other data in collaboration with other HEDIS staff.
• Assists the Manager in the coordination and preparation of the HEDIS medical record review which includes ongoing review of records submitted by providers and the annual HEDIS medical record review.
• Identifies member service gaps based on data loaded in the MHI HEDIS application.
• Collects medical records and reports from provider offices based on member needed services reports and gaps and loads data into the HEDIS application.

Qualifications

Valid and unrestricted RN license in MI, Registered Health Information Technician (RHIT), or Certified Medical Record Technicians

• MUST HAVE medical record abstraction experience (5+ years)
• 5+ years managed care experience
• Basic knowledge of HEDIS and NCQA.
• Basic Microsoft Office Products experience, Adobe or Nitro PDF, a plus is HEDIS software experience.
• Must have valid driver's license, may need to drive to local medical offices to collect records.

Hours for this Position

• Monday through Friday and mandatory Saturdays for April and OT is available and may be required if workload increases.
• Day shifts - any 8 hours between 6 am - 7 pm.
• Pay Rate-$35-$40

Additional Information

Interested in being considered?

If you are interested in applying to this position, please click the Green I’m Interested Button to email your resume and contact Jeff St Louis 407-478-0332x223.