What are the responsibilities and job description for the HEDIS Coordinator position at TALENT Software Services?
Summary:
- Review and abstract relevant data from medical records to ensure compliance with HEDIS measures, clinical information and treatment history
- Validate and verify the accuracy of abstracted data to ensure it meets quality standards and aligns with HEDIS specifications
- Work with Providers and clinical staff to obtain the necessary medical records
- Conduct quality checks on abstracted data to identify and resolve any errors or inconsistencies, ensuring high data integrity for reporting purposes
- Provide abstraction results, including trends and areas for improvement, to inform stakeholders and support quality improvement initiatives
- Stay up to date on HEDIS measure changes and healthcare regulations, continuously seeing ways to improve the abstraction and overread process
- Document findings in applicable HEDIS databases and on prescribed platforms.
- Meet daily medical record overview goals.
- Track and report on issues and outcomes as related to abstractions and over-reads.
- Correct errors identified through over-read process, including re-review of charts that may contain similar errors.
- Maintain productivity level as determined by QI department
- Maintain compliance with all HIPAA and Patient Confidentiality requirements
- 1-3 years Demonstrated expertise, medical record collection, medical terminology
- Should have knowledge of HEDIS, medical terminology and basic charting.
- Ability to work in a production environment.
- The ability to function effectively within multidisciplinary teams.
- Ability to accurately complete tasks within established times.
- Ability to effectively prioritize multiple tasks and deadlines.
