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HEDIS Review ( LPN, RN, or CPC)

Medical | Albuquerque, NM | Full Time, Contract, and Temporary

Job Description

HEDIS Review (LPN, RN, or Coder/CPC)

 

We have an exciting opportunity for a HEDIS Reviewer to come work with our client located near Albuquerque, NM.. If you’re ready to help the wheels of the health care industry remain turning, then what are you waiting for?! Apply today!

 

ROLES AND RESPONSIBILITIES:

Manage an assigned caseload of provider locations and provide verbal and written progress reports regarding the status of each providers submission of requested medical records.

Request medical records via most appropriate method, depending on each provider fax, email, mail or site visits, using secure external drive or scanning, etc. to abstract medical record documentation for Health Effectiveness Data and Information Set (HEDIS) .

Organize, schedule, and conduct on-site medical record abstraction visits as needed.

Communicate with assigned providers to ensure compliance to requests.

 

REQUIRED QUALIFICATIONS:

RN or LPN license or Coder (CPC)

Case Management, Utilization Review, Chart Auditing, or HEDIS experience

Ability to travel locally

 

HOW TO APPLY:  

To apply for this opportunity please utilize the “Apply Now/Submit Resume” button. 

 

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