HEDIS Project Coordinator

Location: Milwaukee, Wisconsin
Posted On: 10/12/2017
Job Code: 6094_393
Job Description
Essential Functions:
• Coordinates the preparation of the annual HEDIS medical record review project which includes Chase MOCK refinement, test run and evaluation of results with manager.
• Generates Missed Services Report production and distribution together with other staff.
• Prepares Annual HEDIS Medical Record abstraction and data entry training manual.
• Assists in collecting and data entering Supplemental Data to help with HEDIS rates.
• Assists in the Medical Record collection process including making phone calls to providers if assigned by manager. Prepares the Medical Record Review vendor(s) payroll paperwork.
• Downloads the files from Right Fax when needed.
• Participates in meetings with vendors for Medical Record Collection process and problem solves for the items in issue logs.
• Assists manager in on-going provider and member interventions and incentive efforts as needed.
• Assists as needed in support of accreditation activities such as NCQA reviews, CAHPS, state audits.
Category:IT  code:new
Job Requirements
Required Experience:
• Data extraction by using queries and displays sound logic to determine how and what to extract.
• 0-2+ years Healthcare Industry experience.

Not Ready to Apply?
Contact Details
Priyanka Sharma