Cambia Health Solutions

HEDIS Medical Record Analyst

Cambia Health Solutions

full-time

Posted on:

Location Type: Remote

Location: Idaho • Oregon • United States

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Salary

💰 $42 - $46 per hour

About the role

  • Retrieve, abstract, or overread medical records in order to capture pertinent, required, data elements for HEDIS reporting
  • 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.

Requirements

  • HEDIS Medical Record experience highly preferred
  • Associate degree in Nursing or related field and 3 years of experience in a clinical setting
  • 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.
Benefits
  • This is a non-benefit role.
Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills & Tools
HEDIS reportingmedical record abstractionmedical terminologyICD-9 codingICD-10-CM codingCPT codingHCPCS codingDRG codingquality oversightmedical record retrieval
Soft Skills
interpersonal skillsteamworkproblem solvingcommunication
Certifications
Associate degree in Nursing