Job Description

• Job Title : HEDIS Quality Reviewer
• Location : 50 Water Street, FL 7, New York, NY
• Duration : 13 weeks
• Shift :9:00am- 5:00pm

Requirements:

• Clinical background: Health Educator, RN, LPN, RN, LMSW or LCSW, Foreign Medical Graduate (FMG) with a minimum of three years relevant work experience.
• Experience with medical record review working on HEDIS/QARR in a managed care or health plan setting.
• 3 5 years in Quality Improvement in a health care and/or Managed Care setting strongly preferred.
• Ability to travel within the MetroPlus service area.
• Knowledge of HEDIS and QARR specifications.
• Experience using EMR systems, e.g. EPIC, Quadramed.
• Proficient in Microsoft Office applications including Word, Excel, PowerPoint and Access.
• Knowledge of ICD-10 and CPT codes preferred.
• Ability to proficiently read and interpret medical records; Ability to measure compliance and identify deficiencies in chart documentation against standards.

Required Skills:
EXCELLENT MULTI-TASKER
MICROSOFT WORD
ACCESS
MS POWERPOINT
EXCEL

Job Tags

Full time, Work experience placement, Work at office, Travel, Shift work,

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