Remote HEDIS Medical Records Analyst - Temporary

Cambia Health Solutions; Medford (OR); Remote; USD 56,000 - 66,000; Full time

Job summary

Cambia Health Solutions is seeking a HEDIS Medical Record Analyst for a temporary 4-5 month assignment. Responsibilities include retrieving and abstracting medical records for HEDIS reporting, coordinating with EMR/EHR systems, and ensuring accurate data capture.

Strong knowledge of medical terminology, HIPAA, and coding conventions is expected. The role offers an hourly pay range of $41-$48 with DOE and a non-benefited arrangement.

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.

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

Medical terminology

EMR/EHR navigation

Interpersonal skills

Problem solving

HIPAA understanding

Quality oversight

HEDIS knowledge

Coding knowledge (ICD-9/10-CM, CPT, HC

Education

Associate degree in Nursing or related field

Tools

FACETS

Microsoft Office

Job description

Cambia Health Solutions is seeking a HEDIS Medical Record Analyst for a temporary 4-5 month assignment. Responsibilities include retrieving and abstracting medical records for HEDIS reporting, coordinating with EMR/EHR systems, and ensuring accurate data capture.

Strong knowledge of medical terminology, HIPAA, and coding conventions is expected. The role offers an hourly pay range of $41-$48 with DOE and a non-benefited arrangement.