Hedis Nurse

HealthCare Support Staffing, Inc. (HSS), is a proven industry-leading national healthcare recruiting and staffing firm. HSS has a proven history of placing talented healthcare professionals in clinical and non-clinical positions with some of the largest and most prestigious healthcare facilities including: Fortune 100 Health Plans, Mail Order Pharmacies, Medical Billing Centers, Hospitals, Laboratories, Surgery Centers, Private Practices, and many other healthcare facilities throughout the United States. HealthCare Support Staffing maintains strong relationships with top providers in healthcare and can assure healthcare professionals they will receive fast access to great career opportunities that best fit their expertise. Connect with one of our Professional Recruiting Consultants today to see how a conversation can turn into a long-lasting and rewarding career!

Job Description

• 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 database.
• 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.

Qualifications

• 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.

Additional Information

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 View phone number on click.appcast.io for immediate consideration.