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As a HEDIS Registered Nurse, you will drive quality improvement initiatives, ensure compliance with established healthcare standards, and ultimately enhance patient outcomes through data-driven practices.
Responsibilities
Educates providers and supports provider practice sites regarding the National Committee for Quality Assurance (NCQA) HEDIS measures and risk adjustment.
Conduct clinical quality audits for Quality department
Collect data by way of chart extraction, using objective specifiations for HEDIS program
Abstract medical record documentation submitted for HEDIS measures used annually for reporting to National Committee for Quality Assurance NCQA.
Support the development and implementation of quality improvement interventions and audits in relation to plan providers.
Required Qualifications
Active RN License
2+ years of HEDIS experience doing Medical Record Abstraction – This is really important they need candidates who have experience going into EMRs and actually doing the medical record abstraction
