Position Title: HEDIS Coordinator
Work Location: Remote – nationally sourced
Assignment Duration: 3.5 months
Schedule: 8:00-5:00 PM CST Monday-Friday  

Position Summary

Key Responsibilities

• Monitor/manage incoming medical records; including downloading, splitting and renaming of incoming records via fax or email.

• Investigate and contact providers to confirm demographic information and request medical records.

• Escalation of chart retrieval efforts as needed to ensure record retrieval.

• Management of pended ‘unable to contact’ records.

• Review claims database for evidence of date of service.

• Potential for rate max of medical records for compliance with HEDIS standards (depending on experience).
  
   

  Candidate Requirements
  High School Diploma		Preferred:
  N/A		Preferred:
  Must haves: Medical Record Experience Health care or MCO experience Strong computer program and navigational skills (excel, outlook, adobe pdf, etc)   Nice to haves: Claims Experience Datavant portal experience Provider outreach call experience HEDIS or NCQA knowledge   Disqualifiers:   Performance indicators: Required to onboarding medical record management test – including downloading, splitting and renaming files to show evidence of understanding of project steps prior to project start.
  1	See above must haves
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At SPECTRAFORCE, we are committed to maintaining a workplace that ensures fair compensation and wage transparency in adherence with all applicable state and local laws.This position's pay range is $23.00/hr - $26.00/hr.