RepuCare
  • - Managed Care
  • Indianapolis, IN, USA
  • Full Time

RepuCare is a woman-owned business (certified WBE) and a leading provider of medical management solutions for federal and corporate healthcare programs. We are partnered with a large managed care company to provide medical management staff to support their state sponsored Medicaid program.

HEDIS Nurse Abstractor (RN):

Location:  We are looking for one HEDIS Medical Record Reviewer in the Indianapolis IN area as a backfill.

This is a temp position lasting through May, with the possibility to turn into a permanent role.

Hours: Monday through Friday 8:00 – 5:00.


Job Responsibilities:

  • Schedule appointments with the provider in a designated territory and responsible for medical record extraction
  • Enter and scan pertinent and supporting information from the medical record into a laptop application
  • Performs over-reads on HEDIS records
  • Reviews and abstracts paper and electronic medical records
  • Utilizes NCQA, HEDIS Technical specification to optimize Plan HEDIS scores
  • Performs complete and accurate data entry of qualifying services and results into HEDIS electronic database software
  • Identifies and communicates patterns of missing documentation for the assessment of additional records
  • Successfully completes Medical Record Reviewer Training and Testing

Experience and Qualifications:

This is a high production environment and candidates must adhere to measured productivity requirements, 

Must be flexible and willing to develop and share strategies to accomplish goals.  Local travel may be required.

  • RN required
  • Medical record review experience, HEDIS experience preferred
  • Maintain compliance with all HIPPA and patient confidentiality requirements
  • Strong computer experience
  • Ability to work 40 hours per week



This position has been closed and is no longer available.
RepuCare

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