Senior HEDIS Records Admin Specialist

W3R Consulting; Illinois; On-site; USD 52,000 - 64,000; Full time

Job summary

W3R Consulting in Illinois seeks a Records Data Specialist to support the HEDIS EDIS project. You will obtain medical record data, scan documents, and route them to the correct measures while maintaining confidentiality.

Under supervision of the HEDIS Coordinator, you will perform data entry, coordinate with QI Specialists, and ensure HIPAA compliance. Strong communication and data-entry skills are essential for success.

Qualifications

• 7+ years experience in a related role.
• High School Diploma or GED; Medical Assistant preferred.
• Customer service skills required.
• Data entry and/or typing experience.
• Proficient in Word, Excel and Lotus Notes.
• Strong written and verbal communication.
• Knowledge of medical terminology is helpful.

Responsibilities

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

Skills

Customer service

Data entry

Typing

Written and verbal communication

Medical terminology knowledge

Education

High School Diploma or GED

Medical Assistant preferred

Tools

Word

Excel

Lotus Notes

Job description

W3R Consulting in Illinois seeks a Records Data Specialist to support the HEDIS EDIS project. You will obtain medical record data, scan documents, and route them to the correct measures while maintaining confidentiality.

Under supervision of the HEDIS Coordinator, you will perform data entry, coordinate with QI Specialists, and ensure HIPAA compliance. Strong communication and data-entry skills are essential for success.