The Judge Group - Jonesboro, AR

posted 2 months ago

Full-time - Mid Level
Remote - Jonesboro, AR
Administrative and Support Services

About the position

The HEDIS Auditor position at The Judge Group Inc. involves remote work focused on the HEDIS season, which runs from January to May. The role requires clinical professionals to retrieve, review, and manage medical records while ensuring compliance with HIPAA regulations and maintaining patient confidentiality.

Responsibilities

  • Retrieve and review specific requested documentation from medical records.
  • Visit physicians' offices to collect documentation when required.
  • Scan relevant components of the medical record to support reviews performed and upload all scanned medical records daily.
  • Successfully complete required training, testing, and quality assessments.
  • Communicate effectively and professionally with office managers, health systems, and other facility or care providers.
  • Schedule and confirm all appointments based on independent assignments for efficiency.
  • Abide by all HIPAA and Independence patient confidentiality requirements.

Requirements

  • RN or LPN in state of residence if applicable.
  • 3-5 years clinical experience if applicable.
  • Chart auditing/abstraction experience with HEDIS.
  • Experience scheduling office appointments and traveling to physician offices, experience working for Health plans required.
  • Flexibility to travel to areas when needed.
  • EMR/EHR experience.
  • Moderate knowledge of how to use a laptop computer and smartphone.

Benefits

  • Remote work opportunity
  • Provided computer equipment, encrypted zip drives, and mobile phones for secure file management.
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