HEDIS Specialist/ Medical Records

Overview
The Hedis/ Medical Records Coordinator plays a vital role in managing and maintaining the integrity of patient medical records within a healthcare setting. This position requires a detail-oriented individual who is proficient in data management and possesses a strong understanding of medical terminology. The ideal candidate will work closely with the team to ensure accurate documentation and compliance with regulatory standards.

Duties

• Organize and maintain patient medical records, ensuring accuracy and confidentiality.
• Requesting and receiving of medical records.
• Conduct telephonic outreach to members and providers to close care gaps and encourage participation in preventive health screenings (e.g., mammograms, colorectal cancer screenings, diabetes care).
• Educate members on the importance of preventive care and guide them on how to complete necessary screenings or appointments.
• Utilize data analysis skills to assess the quality of medical records and identify areas for improvement.
• Manage electronic health records (EHR) systems, particularly ATHENA, to streamline data entry and retrieval processes.
• Collaborate with providers, providers offices, care management team and others to ensure proper documentation for HEDIS reporting and managed care requirements.
• Implement system design improvements to enhance the efficiency of medical record management.
• Stay updated on healthcare regulations and best practices related to medical record keeping.
• Maintain confidentiality and comply with HIPAA regulations and organizational policies.

Experience

• Proven experience in data management within a healthcare environment is preferred.
• Familiarity with medical terminology, clinical trials, and bioinformatics is beneficial.
• Experience using Athena or similar EHR systems is highly desirable.
• Strong analytical skills with the ability to interpret complex data sets effectively.
• Knowledge of HEDIS measures and managed care processes will be an advantage.
• Excellent organizational skills and attention to detail are essential for maintaining accurate records.

Must have Medical Experience. If you are passionate about ensuring the accuracy of patient information and improving healthcare outcomes through effective data management, we encourage you to apply.

Job Type: Full-time

Pay: $17.00 - $20.00 per hour

Expected hours: 40 per week

Benefits:

• 401(k)
• Dental insurance
• Health insurance
• Paid time off
• Vision insurance

Schedule:

• 8 hour shift
• Monday to Friday

Work Location: In person

Salary : $17 - $20