Job SummaryProvides support for medical records collection activities. Supports quality improvement activities through outreach to providers for collection of medical records for Healthcare Effectiveness Data and Information Set (HEDIS) specific data collection, projects and audit processes. Contributes to overarching strategy to provide quality and cost-effective member care. Essential Job Duties Outreaches to providers via phone call, fax, mail, electronic medical record system retrieval and direct on-site pick up for collection of medical records. Loads medical records and reports from provider offices into the Healthcare Effectiveness Data and Information Set (HEDIS) application. Supports annual HEDIS audit and other like audits, and organizes provider outreach, pursuit, collection and upload of provider medical records into the internal database. Provides project management support to leadership via coordination, identification, pursuit and collection of medical records and other required data with other HEDIS staff. Participates in meetings with vendors related to the medical record collection process. Some medical records collection related travel may be required.
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Job Type
Full-time
Career Level
Entry Level
Education Level
No Education Listed
Number of Employees
5,001-10,000 employees