Medical Records Clerk

viva; Chicago (IL); Sur place; USD 55 000 - 75 000; Plein temps

Résumé du poste

Viva is seeking a staff member to support the HEDIS Effectiveness Data and Information Set project by performing comprehensive medical record reviews under the HEDIS Coordinator. The role supports data entry, record retrieval, and scanning operations in a HIPAA-compliant environment.

Responsibilities include obtaining and organizing medical records, entering data, and coordinating with the Quality Improvement team to resolve issues.

Qualifications

• 7+ years experience in medical data/records review.
• High School Diploma or GED; Medical Assistant preferred.
• Customer service skills.
• Data entry and/or typing experience.
• Proficient in Word, Excel and Lotus Notes.
• Clear and concise written and verbal communication.
• Knowledge of medical terminology is helpful.

Responsabilités

• Obtain medical record data from PO Box and distribute to scanning for processing.
• Scan all paper documents and identify member to the appropriate measure.
• Enter data or update chase status in various software applications for HEDIS operations.
• Meet with HEDIS Coordinator or QI Specialists to discuss efforts and open issues.
• Notify appropriate staff of incoming medical record data requests; follow up with provider offices as needed.
• Route complex issues to Quality Improvement Specialists/HEDIS Coordinator.
• Maintain HIPAA compliance and patient confidentiality.
• All other duties as assigned.

Connaissances

Data entry

Customer service

Medical terminology

Communication

PC proficiency

Formation

High School Diploma or GED

Outils

Word

Excel

Lotus Notes

Description du poste

Staff will work under the supervision of the HEDIS Coordinator. They are a member of the medical record review team. The team is responsible for obtaining and performing accurate comprehensive reviews of medical records in support of The HEDIS Effectiveness Data and Information Set project. HEDIS reviews are completed in accordance with NCQA guidelines and technical specifications.

JOB REQUIREMENTS

7+ years experience

High School Diploma or GED. Medical Assistant preferred.

Customer service skills

Data entry and/or typing experience.

PC proficiency to include Word, Excel and Lotus Notes.

Clear and concise written and verbal communication skills.

Knowledge of medical terminology is helpful

Duties and Responsibilities

Obtain medical record data from PO Box and distribute to for scanning purposes.

Scan in all paper documents obtained from the mail or fax. Identify member to the appropriate measure. Label documents as directed and place in appropriate measure file.

Utilizes various software applications to support HEDIS operations by entering data or changing chase status pertaining to the medical records.

Meets with HEDIS Coordinator and / or QI Specialists to discuss HEDIS efforts, any open issues and can include IRR results.

Advise the appropriate staff person of their request incoming medical record data.

May be directed to calls a provider office to follow-up on requested for medical records.

Routes all complex issues to the Quality Improvement Specialists/HEDIS Coordinator.

Maintains compliance with HIPAA and patient confidentiality requirements.

All other duties as assigned.

VIVA is an equal opportunity employer. All qualified applicants have an equal opportunity for placement, and all employees have an equal opportunity to develop on the job. This means that VIVA will not discriminate against any employee or qualified applicant on the basis of race, color, religion, sex, sexual orientation, gender identity, national origin, disability or protected veteran status