[Hiring] HEDIS Medical Record Analyst @Cambia Health Solutions

Role Description

The HEDIS Medical Record Analyst’s primary responsibilities will be to retrieve, abstract, or overread medical records in order to capture pertinent, required data elements for HEDIS reporting. The core responsibilities of this role may include but are not limited to:

• Collects assigned medical records from EMR/EHR systems and prepares them for medical record abstraction.
• Documents retrieval progress/findings for each EMR accessed.
• Communicates effectively and professionally with provider offices.
• Reviews assigned medical records in order to abstract specified clinical data elements for HEDIS reporting (e.g. date of service of breast cancer screening, date of service and results of laboratory tests related to chronic conditions).
• Documents abstraction findings on appropriate paper and/or electronic tools as directed by the HEDIS MR Team.
• Communicates additional pursuit strategies, if needed, to other members of the team as defined in the department’s policies and procedures (e.g. requests a call back to provider office to ask for additional clarifying information).

Qualifications

• HEDIS Medical Record experience highly preferred.
• Associate degree in Nursing or related field and 3 years of experience in a clinical setting.
• Experience working with medical records and/or experience with EMR/EHR systems or equivalent combination of education and experience.
• Excellent interpersonal skills and ability to work effectively in team environment.
• Demonstrated command of medical terminology, navigating EMR/EHR systems, medical record documentation, and clinical processes.
• Demonstrated problem-solving ability.
• Knowledge of Microsoft Office products is desirable.
• Understanding of HIPAA.
• Knowledge of ICD-9 and 10-CM, CPT, HCPCS and DRG coding conventions a plus.
• Knowledge of FACETS a plus.
• Experience with quality oversight and teaching desired.
• Prior experience in HEDIS and medical record retrieval and/or abstraction for quality or research projects.

Requirements

• One of the following is preferred:
• Valid Registered Nursing (RN/LVN/LPN).
• CPC – Certified Professional Coder.
• CCS - Certified Coding Specialist.

Benefits

• Work from home within WA, OR, ID, UT.
• Base pay range for this temporary role is $42.00-$46.00 an hour DOE.
• This is a non-benefit role.

Company Description

Working at Cambia means being part of a purpose-driven, award-winning culture built on trust and innovation anchored in our 100+ year history. Our caring and supportive colleagues are some of the best and brightest in the industry, innovating together toward sustainable, person-focused health care.

• Work alongside diverse teams building cutting-edge solutions to transform health care.
• Earn a competitive salary and enjoy generous benefits while doing work that changes lives.
• Grow your career with a company committed to helping you succeed.
• Give back to your community by participating in Cambia-supported outreach programs.
• Connect with colleagues who share similar interests and backgrounds through our employee resource groups.