Dallas, Texas
Posted 9 months ago

Local candidates preferred

This position is a hybrid working position, you
must be living in the DFW or surrounding area. Access to high-speed internet and secure
working environment is required. All equipment will be provided

20 hrs/week will be assigned the 1st week to accomplish required training (self paced and hours/days can vary)

Primary Purpose

The Quality HEDIS Retriever / Analyst
supports HEDIS team by conducting Medical Records chart chasing and data
entry of medical records for HEDIS projects, HEDIS like projects and
supplemental data collection. The Quality HEDIS Retriever / Analyst will
meet chart retrieving productivity standards as well as minimum over read
standards and 100% compliance on cleared pends.

Responsibilities:

1.
The Quality HEDIS
Retriever / Analyst will function as support of the HEDIS Team during the traditional
HEDIS season and/or during off-season projects

2.
Perform at minimum retrieval
/ chasing of assigned measures and training as part of their responsibilities

3.
Works in conjunction
with Clinical Quality Program Manager to complete training and subsequent retrieval
by measure specific team assignment

4.
Will escalate matters
to Clinical Quality Program Manager as appropriate

5.
Collaborates with other
HEDIS Abstractors & Retrievers and will always demonstrate PCHP core
values

6.
Will adhere to
compliance of the hybrid and remote policy, HIPAA regulations, professional
conduct, and ethical practice

7.
Completes all special
projects and other duties as assigned

8.
Must be able to perform
duties with reasonable accommodation

9.
Must be able to
communicate effectively with medical offices

Requirement description :

2+ years of medical record review/retrieval experience
experience auditing files to ensure accuracy and compliance
strong experience and comfort using multiple software programs; Microsoft programs (sharepoint, teams, outlook, excel, etc…)
HEDIS/NCQA knowledge
experience working with HEDIS data entry software/reporting tools and/or entry in HEDIS engines

ADDITIONAL LICENSE REQUIREMENTS :
Weekend Requirements : as needed
On Call Requirements : n/a

Apply

Temp – Administrative – Quality Improvement and Compliance (Days) Dallas TX