Cambia Health Solutions
Cambia Health Solutions
Cambia Health Solutions ir bezpeļņas veselības aprūpes organizācija, kas atrodas Portlendā, Oregonas štatā, un kuras mērķis ir padarīt aprūpi vairāk orientētu uz patērētāju. Kā Regence veselības plānu saimes mātesorganizācija tā darbojas veselības apdrošināšanas un ar aprūpi saistītās jomās, kā arī iegulda veselības aprūpes inovācijās, tostarp digitālajos rīkos un pakalpojumos, kas izstrādāti, lai uzlabotu cilvēku piekļuvi veselības aprūpei un pieredzi tās saņemšanā.

Temporary HEDIS Medical Record Analyst - Remote

Temporary remote role focused on retrieving, reviewing, and abstracting medical records for HEDIS quality reporting. Supports compliance and Quality Improvement through EMR/EHR analysis and accurate data capture.

Apraksts

  • Retrieve and abstract medical records to capture required HEDIS reporting data.
  • Obtain member records from EMR and EHR systems.
  • Review electronic records for required clinical documentation.
  • Download medical record images to designated corporate drives.
  • Track record receipt and retrieval progress in the appropriate software.
  • Request outstanding records by phone, fax, mail, or onsite pickup when necessary.
  • Enter pertinent abstracted or over-read data into the designated HEDIS database.
  • Organize assigned records for medical record abstraction.
  • Maintain professional, effective communication with provider offices.
  • Record abstraction findings in approved paper and electronic tools.
  • Share additional record-pursuit strategies with HEDIS team members.
  • Contribute to HEDIS reporting and Quality Improvement initiatives.

Prasības

  • Strong interpersonal skills and the ability to collaborate effectively in a team setting.
  • Working knowledge of medical terminology, EMR/EHR platforms, medical documentation, and clinical workflows.
  • Proven ability to identify issues and develop solutions.
  • Familiarity with Microsoft Office products is desirable.
  • Understanding of HIPAA requirements.
  • Knowledge of ICD-9, ICD-10-CM, CPT, HCPCS, and DRG coding conventions is a plus.
  • Familiarity with FACETS is a plus.
  • Previous HEDIS experience and medical record retrieval or abstraction experience in quality or research settings.
  • Associate degree in Nursing or a related field plus three years of clinical, medical records, or EMR/EHR experience, or an equivalent combination of education and experience.
  • Preferred certification includes a valid RN, LVN, LPN, CPC, or CCS credential.
  • Ability to satisfy wired internet requirements for working from home.
  • Access to a personal mobile device for multifactor authentication setup.
  • Successful completion of a background check is required.

Priekšrocības

  • Work-from-home options are available for most roles, subject to wired internet requirements.
  • Competitive compensation.
  • This temporary position is explicitly non-benefited, although Cambia generally describes benefits for its employees.
  • Opportunities for career development and professional growth.
  • Participation in Cambia-supported community outreach programs.
  • Employee resource groups.
  • Access to a personal mobile device for multifactor authentication setup.

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