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HEDIS Specialist in San Antonio, TX at Pionear

Date Posted: 12/6/2018

Job Snapshot

Job Description



Job Description

A large Managed Care Company in the San Antonio area iare currently hiring for HEDIS Medical Record Collector roles. We are looking for professional candidates with appropriate experience who can be available same day or next day for assignments at any given time.



Overview:

  • Medical Records Collector will work collaboratively in outreaching to providers in order to pursue medical records via phone call, fax, mail, electronic medical record system retrieval and direct onsite pick up, for Medical Record projects.

  • Under the direction of the national and/or regional lead, the Medical Records Collector supports the annual audit and other Medical Record like audits, by organizing provider outreach, pursuit, collection and upload of provider medical records into the internal database. 
  • Assisting with project management by coordinating the identification, pursuit and collection of medical records and other data in collaboration with other Medical Record staff. 
  • Assists the Manager and Supervisor(s) and / or performs the coordination and preparation of the medical record collection process that includes the pursuit via phone call, fax, mail, electronic medical record system retrieval and direct onsite pick up


Job Requirements

Knowledge/Skills/Abilities:

  • Proficient with PC-based systems and the ability to learn new information systems and software programs 
  • Strong communication and teaming/interpersonal skills; strong leadership capabilities 
  • Ability to initiate and maintain cross-team relationships 
  • Excellent verbal and written communication skills
  • Maintain regular attendance based on agreed-upon schedule 
  • Maintain confidentiality and comply with Health Insurance Portability and Accountability Act (HIPAA) 
  • Ability to establish and maintain positive and effective work relationships with coworkers, clients, members, providers and customers

Required Education:

  • High School Diploma or equivalent.

Job Requirements

Required Experience:

  • 0-2 years coding and medical record abstraction experience
  • 0-2 years managed care experience
  • Basic knowledge of HEDIS and NCQA

Required Licensure/Certification:

  • 1 season/year medical record collection experience.
  • 1 year managed care experience.
  • Preferred Experience: 2 years Medical Record data collection experience.


Pionear is an equal opportunity employer 

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