About the job
Our client is currently seeking a HEDIS Abstractor – Nurse in Florida!
Job Details: HEDIS Season Contract (W2, Weekly Pay, Benefits/401K Available)
Location: REMOTE
Hours: Monday-Friday 8:00AM-5:00PM
Compensation: Competitive and based on experience
Start Date: January 2025
**All candidates must live and be licensed in Florida**
Job Summary: Candidate will work with the HEDIS team to collect member records and conduct reviews of these records by contacting providers and placing the results collected into a specific data base. If necessary the medical record review is conducted on site in provider office or hospital institution. Local travel may be required.
This job will have the following responsibilities:
- Required to handle a high volume of telephonic interaction with provider offices.
- Must follow up on requested medical records with providers.
- Must keep excellent documentation of research and contact information.
- Must pass a medical record abstraction test prior to starting actual record reviews.
- This is a high production environment and candidates must adhere to measured productivity requirements, module testing and at times retesting to meet minimum requirements.
- Required to perform research on internal claims systems.
- Must be flexible and willing to develop and share strategies to accomplish goals.
- Reviews require data analysis and research within the data systems.
Qualifications & Requirements:
- Requires a licensed nurse; RN, LPN, LVN, Licensed professional graduate of an accredited school of nursing.
- Candidates must have computer skills and analysis capabilities in order to navigate CPT4 code and ICD9 and ICD10 DX based on HEDIS Technical Specification requirements.
- Must have an understanding of codes for services based on diagnosis and procedure.
- Prior HEDIS experience a plus.
All qualified and interested candidates, please send your most updated resumes to [email protected] for immediate consideration!