HEDIS Nurse

• Candidate will work with the HEDIS team to collect member records and conduct reviews of these records by contacting providers and placing the results collected into a specific data base.

• Required to perform research on internal claims systems.

• If necessary the medical record review is conducted on site in provider office or hospital institution.

• Local travel may be required.

• This candidate will be required to handle a high volume of telephonic interaction with provider offices.

• Candidates must follow up on requested medical records with providers.

• Must keep excellent documentation of research and contact information.

• Candidate must pass a medical record abstraction test prior to starting actual record reviews.

• Candidates must have excellent skill set to read and interpret physician handwriting

• Must clear and active RN or LPN/LVN license in the state of OH

• Prior experience with medical record review

• Experience with CPT-4, ICD-9, and ICD-10 coding

• Strong understanding of medical terminology

• Strong computer skills and must know MS Office products with emphasis on Excel knowledge

• Ability to type 30-40 WPM

Hours for this Position:

5 days a week- 40 hours

this is an immediate 5 month contract

Pay Range: $25.00- 38.00

Interested in hearing more about this great opportunity? Please call and e-mail your resume to Steph Zymowski at 407-636-7030 x220 for immediate consideration.