HEDIS Coordinator

IMCS Group

Delaware State

Location:

Remote - Kent County/Sussex County/New Castle County - Delaware (2-3 days per week of field work)

Schedule:

Mon – Fri 8am – 5pm EST

Roles and Responsibilities:

Travel on site to provider offices to retrieve medical records for HEDIS
Performance expectations: 1. 100% adherence to HIPAA 2. Retrieved records meet HEDIS criteria, are within required timeframe are legible, and complete. 3. Accurate indexing and naming of records, 4. Timely escalation and resolution of provider barriers affecting retrieval, 5. Maintain professional relationships with office staff and providers
This role offers a unique opportunity to combine healthcare quality expertise with direct provider engagement.
Unlike traditional office-based positions, the Medical Record Retrieval Specialist works directly with provider offices to obtain critical medical records that support HEDIS reporting, quality improvement initiatives, and better health outcomes.
The role requires a blend of relationship-building, problem-solving, travel, and technical knowledge of medical records, EHR systems, and HEDIS measures, making a tangible impact on both provider performance and member care
Responsible for working with network providers to retrieve medical records for HEDIS

Requirements:

3+ years of quality improvement or healthcare related experience.
Driver's license required and own vehicle
Bachelor’s degree in related field or equivalent experience.

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Vacancy posted 1 hour ago

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