Specialist, HEDIS

It's rewarding to be on a team of people that truly believe in making an impact! We are committed to building the best primary care environment for patients and are seeking healthcare enthusiasts to join us. Job Summary The HEDIS Specialist performs medical record review and collection. They also perform abstraction and data entry for HEDIS and HEDIS-like measures. Essential Duties & Responsibilities Performs provider/practitioner medical record reviews, abstraction and data entry for HEDIS and HEDIS-like measures as part of HEDIS Operations. Reviews assigned medical records in order to abstract clinical data elements for HEDIS reporting, e.g., results of laboratory tests, verification of hypertension and the most recent blood pressure reading, prenatal and postpartum care services. Integrates data collected from a variety of electronic and paper sources. Identifies findings supported by documentation guidelines with high level of accuracy. Documents abstraction findings in HEDIS database tool. Additional Duties & Responsibilities Any other duties as assigned by supervisor. Supervisory Responsibilities No supervisory responsibilities Education & Experience Working knowledge of ICD-10 CM 1-year HEDIS experience Experience working with HEDIS software (data entry, reporting) preferred Experience in medical record review (vendor or health plan; onsite or fax/mail) Education Requirements Required/Preferred Education Level Discipline Required High School Knowledge, Skills & Proficiencies Skill in operating phones, personal computer, software and other IT systems. Skill in oral communication Ability to work in a fast-paced environment. Ability to communicate with employees, patients and other individuals in a professional and courteous manner. Ability to pay close attention to detail and to ensure accuracy of reports and data. Fluent in English and Spanish Physical Requirements This position works under usual office conditions. The employee is required to work at a personal computer as well as be on the phone for extended periods of time. Must be able to stand, sit, walk and occasionally climb. The incumbent must be able to work extended and flexible hours and weekends as needed. Physical demands include ability to lift up to 50 lbs. The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of the job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Work Conditions Must be able to perform essential functions such as typing, standing, sitting, stooping, and occasionally climbing Travel Requirements Amount of Expected Travel Details Yes 0-25% Work will involve some driving/traveling to assigned clinics. Tools & Equipment Used Computer and peripherals, standard and customized software applications and tools, and usual office equipment. Disclaimer The duties and responsibilities described above are designed to indicate the general nature and level of work performed by associates within this classification. It is not designed to contain, or be interpreted as a comprehensive inventory of all duties, responsibilities, and qualifications required of associates assigned to this job. This is not an all-inclusive job description; therefore, management has the right to assign or reassign schedules, duties, and responsibilities to this job at any time. Cano Health is an equal opportunity/affirmative action employer. All qualified applicants will receive consideration for employment without regard to sex, gender identity, sexual orientation, race, color, religion, national origin, disability, protected veteran status, age, or any other characteristic protected by law. Join our team that is making a difference! Please see Cano Health’s Notice of E-Verify Participation and the Right to Work post here Together, we have the opportunity to serve and grow with purpose. Find your team and begin your journey of transforming healthcare! Let us know you’re interested in a future opportunity by clicking ‘Get Started’ below. For more updates and engagement, create an account by clicking ‘Sign In’ above.

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