HEDIS Coordinator Job at Ohm Systems, Newtown Square, PA

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  • Ohm Systems
  • Newtown Square, PA

Job Description

Duties

  • Review and abstract relevant data from medical records and case management 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

Skills:

  • 1-3 years Demonstrated expertise, medical record and/or case management data 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.

Education:

  • High School/GED

Job Tags

Hourly pay,

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