Remote HEDIS Medical Records Analyst (Temporary)

Cambia Health Solutions; Austin (TX); Remote; USD 56,000 - 66,000; Full time

Job summary

Cambia Health Solutions is seeking a HEDIS Medical Record Analyst for a temporary assignment starting January 4, lasting approximately 4-5 months. The role focuses on retrieving, abstracting, and over-reading medical records to support HEDIS reporting.

Responsibilities include collecting records from EMR/EHR systems, documenting retrieval progress, communicating with provider offices, and entering data into the HEDIS database.

Qualifications

• Excellent interpersonal skills and ability to work effectively in team environment.
• Demonstrated command of medical terminology, navigating EMR/EHR systems, medical record documentation, and clinical processes.
• Demonstrated problem solving ability.
• Knowledge of Microsoft office products desirable.
• Understanding of HIPAA.
• Knowledge of ICD-9 and 10-CM, CPT, HCPCS and DRG coding conventions a plus.
• Knowledge of FACETS a plus.
• Experience with quality oversight and teaching desired.
• Prior experience in HEDIS and medical record retrieval and/or abstraction for quality or research projects.
• Associate degree in Nursing or related field and 3 years of experience in a clinical setting, working with medical records, and/or experience with EMR/EHR systems or equivalent combination of education and experience.

Responsibilities

• Collects assigned medical records from EMR/EHR systems and prepares them for medical record abstraction
• Documents retrieval progress/findings for each EMR accessed
• Communicates effectively and professionally with provider offices
• Reviews assigned medical records in order to abstract specified, clinical data elements for HEDIS reporting (e.g. date of service of breast cancer screening, date of service and results of laboratory tests related to chronic conditions)
• Documents abstraction findings on appropriate paper and/or electronic tools as directed by the HEDIS MR Team
• Communicates additional pursuit strategies, if needed, to other members of the team as defined in the department’s policies and procedures (e.g. requests a call back to provider office to ask for additional clarifying information.)

Skills

Interpersonal skills

Medical terminology

EMR/EHR navigation

Problem solving

HIPAA knowledge

ICD-9/10-CM CPT HCPCS DRG

HEDIS data abstraction

Quality oversight

Education

Associate degree in Nursing or related field

RN/LVN/LPN CPC - Certified Professional Coder

CCS - Certified Coding Specialist

Job description

Cambia Health Solutions is seeking a HEDIS Medical Record Analyst for a temporary assignment starting January 4, lasting approximately 4-5 months. The role focuses on retrieving, abstracting, and over-reading medical records to support HEDIS reporting.

Responsibilities include collecting records from EMR/EHR systems, documenting retrieval progress, communicating with provider offices, and entering data into the HEDIS database.