HEDIS Medical Record Analyst (Temporary)

HEDIS Medical Record Analyst - Temporary Role

Remote if residing in WA, OR, UT, ID. Those outside our 4 State footprint will not qualify for this role.

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This position will start January 4th and the assignment will be for approximately 4-5 months. The base pay range for this temporary role is $41.00-$48.00 an hour DOE. This is a non-benefited role.

Under direction, the HEDIS Medical Record Analyst’s primary responsibilities will be to retrieve, abstract, or over read 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:

- Collecting member medical records from various electronic medical record (EMR/EHR) systems, performing reviews of electronic medical records to determine if required documentation is present, downloading medical record images to one of our corporate drives, and logging receipt of medical record documentation in appropriate software. Retrieval efforts may also include pursuit via phone call, fax, mail, or direct onsite pickup.
- Abstract and/or over read all pertinent medical record data and enter it into a specified HEDIS data base to support HEDIS reporting and Quality Improvement. Abstraction efforts may also include over reading of medical records that have been abstracted by other HEDIS Medical Record Analysts.

Responsibilities:

- 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.)

Minimum Requirements:

- 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 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.

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Normally to be proficient in the competencies listed above:

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HEDIS Medical Record Analyst’s would have an 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.

#LI-remote

Required Licenses, Certifications, Registration, Etc.

One of the following is preferred:

- Valid Registered Nursing (RN/LVN/LPN)
- CPC – Certified Professional Coder
- CCS - Certified Coding Specialist

The base pay range for this job is $41.00-$48.00 an hour DOE.

At Cambia, we take a variety of factors into account when creating a job offer, including your skills, experience, education, and training; relevant licensure / certifications; performance history; and work location. While we offer competitive salaries, in general, we do not hire candidates at or near the top of the pay range.

About Cambia

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.  Whether we're helping members, lending a hand to a colleague or volunteering in our communities, our compassion, empathy and team spirit always shine through.

Why Join the Cambia Team?

At Cambia, you can:

- 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.

We are happy to offer work from home options for most of our roles. To take advantage of this flexible option, we require employees to have a wired internet connection that is not satellite or cellular and internet service with a minimum upload speed of 5Mb and a minimum download speed of 10 Mb.

As part of our security requirements, new hires will need access to a personal mobile device to set up Multi-Factor Authentication (MFA) upon joining the company. MFA is an important layer of protection for accessing Cambia systems and is required for all employees.

We are an Equal Opportunity employer dedicated to a drug and tobacco-free workplace. All qualified applicants will receive consideration for employment without regard to race, color, national origin, religion, age, sex, sexual orientation, gender identity, disability, protected veteran status or any other status protected by law. A background check is required.

If you need accommodation for any part of the application process because of a medical condition or disability, please email [email protected] . Information about how Cambia Health Solutions collects, uses, and discloses information is available in our Privacy Policy .