HEDIS Data Reviewer

"Impresiv Health is a healthcare consulting partner specializing in clinical & operations management, enterprise project management, professional services, and software consulting services. We help our clients increase operational efficiency by delivering innovative solutions to solve their most complex business challenges. Our approach is and has always been simple. First, think and act like the customers who need us, and most importantly, deliver what larger organizations cannot do – provide tangible results that add immediate value, at a rate that cannot be beaten. Your success matters, and we know it. That’s Impresiv!
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Skills:
• Three to five years working with HEDIS data including chart review/collection. HEDIS, QRS, or STARs experience. Knowledge of medical terminology and basic charting to include diabetic labs, HPV testing, preventive health screenings, immunization and well-care terminology for children, adults and pregnant women.
• Understanding of current HEDIS Technical Specifications.
• Knowledgeable in the HEDIS audit process (PSV, CSV and MRRV).
• Proficiency in Excel, Word, Power Point and Outlook.
• Experience with medical record abstraction tool(s) and wiliness to learn any medical record abstraction tool.
• Experience in the Pediatric, Maternity, Diabetic or Provider Office Setting.
• Familiar with the Cancer Registry.
• Familiar with Bright Futures.
• Strong written and oral communication skills, critical thinking skills, strong organizational skills.
• Able to think and work independently, effectively, and under pressure of deadlines.
Education:
LPN, CNS, APRN or RN preferred. Medical Record Professionals and Coders with demonstrated expertise in HEDIS abstraction will be considered.