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HEDIS Abstractor

HEDIS Abstractor

Arbour SeniorCareReno, NV, US
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Responsibilities

Prominence Health is a value-based care organization bridging the gap between affiliated health systems and independent providers, building trust and collaboration between the two. Prominence Health creates value for populations and providers to strengthen integrated partnership, advance market opportunities, and improve outcomes for our patients and members. Founded in 1993, Prominence Health started as a health maintenance organization (HMO) and was acquired by a subsidiary of Universal Health Services, Inc. (UHS) in 2014. Prominence Health serves members, physicians, and health systems across Medicare, Medicare Advantage, Accountable Care Organizations, and commercial payer partnerships. Prominence Health is committed to transforming healthcare delivery by improving health outcomes while controlling costs and enhancing the patient experience.

Job Overview : A qualified healthcare professional performs medical record abstraction in support of the annual Healthcare Effectiveness Data and Information Set (HEDIS) data collection. Responsibilities include interacting with provider offices, onsite or telephonically, to access medical records. The HEDIS Chart Abstractor should have basic clinical and healthcare knowledge, basic knowledge of NCQA HEDIS abstracting guidelines, and the ability to access medical records (electronic and paper). The Abstractor will identify required data, extract and organize this data, and enter it into a HEDIS software database.

Benefits

  • Loan Forgiveness Program
  • Challenging and rewarding work environment
  • Competitive Compensation & Generous Paid Time Off
  • Excellent Medical, Dental, Vision and Prescription Drug Plans
  • 401(K) with company match and discounted stock plan
  • SoFi Student Loan Refinancing Program
  • Career development opportunities within UHS and its 300+ Subsidiaries

About Universal Health Services

One of the nation's largest and most respected providers of hospital and healthcare services, Universal Health Services, Inc. (UHS) has built an impressive record of achievement and performance. UHS has been recognized among Fortune's World's Most Admired Companies and Forbes' ranking of America's Largest Public Companies. UHS operates acute care hospitals, behavioral health facilities, outpatient facilities, and ambulatory care access points, along with an insurance offering and physician network, across the U.S., Washington, D.C., Puerto Rico and the United Kingdom.

Qualifications

  • 2+ years of experience performing HEDIS medical record abstraction in commercial, Medicare or Medicaid programs
  • High School Diploma or Equivalent
  • Thorough understanding of Medicare HEDIS measurements
  • Experience training / educating provider communities on proper documentation strategies
  • Experience with multiple Electronic Medical Records (EMR) and consulting medical groups on HEDIS best practices
  • Ability to communicate effectively in English, both verbally and in writing
  • Basic knowledge of NCQA and HEDIS data collection
  • Ability to work independently and accurately
  • Ability to follow instructions precisely
  • Familiarity with electronic and paper medical record systems
  • Ability to identify specific data within the medical record
  • Familiarity with and capacity to learn various data entry systems
  • EEO Statement

    All UHS subsidiaries are committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants and teammates. UHS subsidiaries are equal opportunity employers and support recruitment, selection, placement, promotion and compensation of individuals without regard to race, color, religion, age, sex (including pregnancy, gender identity, and sexual orientation), genetic information, national origin, disability status, protected veteran status or any other characteristic protected by federal, state or local laws. Diversity and inclusion are considered critical to our success.

    Avoid and Report Recruitment Scams : At UHS and all subsidiaries, our Human Resources teams help prospective candidates by matching skill set and experience with the best career path. Do not share financial or personal information via email with recruiters. If you suspect a fraudulent job posting, report concerns to appropriate authorities and verify opportunities on legitimate UHS career websites.

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