Quick overview
Job description
Must have a RN or LPN from DMV or compact license. CNA with 10+ years HEDIS experience will be accepted as well. Must have recent HEDIS experience.
Must have solid 5+ years of HEDIS experience - HEDIS extractions, HEDIS retrospect, quality reviews & it’s nice to have overread experience (Internal notes: overread is re-reviewing medical records during audits). (If they have 2 seasons of HEDIS experience within the 5 years with one firm will be highly preferred.)
Must have solid & in-depth clinical experience, need resources who have solid experience with clinical reviews & medical terminologies. (Not looking for bed side care experience) – Must have 3+ years clinical experience.
Must have medical records review experience.
Must have EMR experience
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