HEDIS Auditor - Lousianna, Multiple States, USA


DRCC is currently seeking HEDIS Reviewers to work REMOTE FROM HOME

Various, Multiple States, United States of America

This job will have the following responsibilities: (supplmentart data)

  • Retrieve and review specific requested documentation from medical records.
  • Scan relevant components of the medical record to support reviews performed and upload all scanned medical records daily
  • Maintain lines of communication with the assigned clinical lead, project coordinator and project manager
  • Successfully complete required training, testing and quality assessments
  • Communicate effectively and professionally with office managers, health systems and any other facility or care providers
  • Schedule and confirm all appointments based on your independent assignment for efficiency
  • Abide by all HIPAA and Independence patient confidentiality requirements

Qualifications & Requirements:

  • Chart auditing/abstraction experience with HEDIS
  • Experience scheduling office appointments and traveling to physician offices, experience working for Health plans required.
  • Flexibility to travel to areas when needed. 
  • EMR/EHR experience. 
  • Must have moderate knowledge of how to use a laptop computer and smart phone.
  • Computer equipment, encrypted zip drives and mobile phones is provided for uploading, transferring and scanning files to our secure file transfer site.

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