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HEDIS Auditor job in Newark at The Judge Group

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HEDIS Auditor at The Judge Group

HEDIS Auditor

The Judge Group Newark, NJ Full-Time
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Location: Newark, NJ
Description: Judge Healthcare is currently seeking 2 HEDIS Nurses in the North, Central and South Jersey areas to work REMOTE FROM HOME for the upcoming HEDIS Season!  

This job will have the following responsibilities:
  • Retrieve and review specific requested documentation from medical records, Visit physicians’ offices to collect when required.
  • Scan relevant components of the medical record to support reviews performed and upload all scanned medical records daily
  • Maintain lines of communication with the assigned clinical lead, project coordinator and project manager
  • Successfully complete required training, testing and quality assessments
  • Communicate effectively and professionally with office managers, health systems and any other facility or care providers
  • Schedule and confirm all appointments based on your independent assignment for efficiency
  • Abide by all HIPAA and Independence patient confidentiality requirements
  • Availability of at least 8 hours a day, 5 days per week.
Qualifications & Requirements:
  • RN or LPN in the state of NJ or NY, Bachelor Degree preferred
  • 3-5 years clinical experience
  • For Overreaders, chart auditing/abstraction experience which will include 1 year experience with HEDIS. 
  • For Collection Nurses, 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. 
  • Must have moderate knowledge of how to use a laptop computer and smart phone.
  • Computer equipment, encrypted zip drives and mobile phones is provided for uploading, transferring and scanning files to our secure file transfer site.
If you or anyone you may know might be interested in this position, please send most UP TO DATE resume to [ Email address blocked ] - Click here to apply to HEDIS Auditor or give Jess a call at
484-434-2972
to discuss further.

Thank you!

Contact: [ Link removed ] - Click here to apply to HEDIS Auditor
This job and many more are available through The Judge Group. Find us on the web at [ Link removed ] - Click here to apply to HEDIS Auditor
 

Recommended Skills

Electronic Medical Record
Medical Records
Physician Patient Privilege
Health Insurance Portability And Accountability Act (Hipaa) Compliance
Scheduling
Mobile Phones
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