HEDIS Medical Record Analyst – Temporary

This is a fully remote position, open to applicants in Idaho, +3 more states.

📋 Description

• Retrieve, abstract, and/or review medical records to capture necessary data elements for HEDIS reporting.

• Gather member medical records from EMR/EHR systems.

• Evaluate electronic medical records for required documentation.

• Download medical record images to corporate storage drives.

• Log the receipt of medical record documentation in the appropriate software.

• Seek records through phone, fax, mail, or direct onsite collection when necessary.

• Input relevant medical record data into the designated HEDIS database to assist with reporting and quality improvement.

• Review records abstracted by other HEDIS Medical Record Analysts.

• Prepare assigned records for abstraction.

• Document retrieval progress and findings for each accessed EMR.

• Maintain professional communication with provider offices.

• Abstract specific clinical data elements for HEDIS reporting.

• Document abstraction findings using specified paper and/or electronic tools.

• Share additional pursuit strategies with team members according to departmental policies and procedures.

⛳️ Requirements

• Strong interpersonal skills and the ability to collaborate effectively within a team environment.

• Proven knowledge of medical terminology, EMR/EHR systems, medical record documentation, and clinical processes.

• Demonstrated problem-solving capabilities.

• Familiarity with Microsoft Office products is preferable.

• Understanding of HIPAA regulations.

• Knowledge of ICD-9 and ICD-10-CM, CPT, HCPCS, and DRG coding conventions is advantageous.

• Familiarity with FACETS is a plus.

• Experience in quality oversight and teaching is desired.

• Previous experience in HEDIS and medical record retrieval and/or abstraction for quality or research projects.

• An associate degree in Nursing or a related field, along with 3 years of experience in a clinical setting, working with medical records and/or EMR/EHR systems, or an equivalent combination of education and experience.

• Preferred valid Registered Nursing (RN/LVN/LPN) license, CPC certification, or CCS certification.

• Must have a wired internet connection, not satellite or cellular, with a minimum of 5 Mb upload and 10 Mb download speeds for the work-from-home option.

• New hires are required to have access to a personal mobile device for MFA setup.

• Background check is mandatory.

🏝️ Benefits

• Work-from-home options available for most roles, subject to wired internet requirements.

• Competitive salary.

• Generous benefits are generally mentioned, but this temporary position is specifically non-benefited.

• Opportunities for career growth and development.

• Participation in Cambia-supported community outreach initiatives.

• Access to employee resource groups.

• Personal mobile device access required for MFA setup.