Healthcare Quality Mgmt Consultant

Downers Grove, IL | 4 Months

Post Date: 11/10/2017 Job ID: 7840379 Industry: Other


• Calling provider offices and requesting medical record information or onsite office visit
• Locate and review all assigned medical charts, perform abstraction, and copy all chart documentation per Plan specifications
• Complete the Medical Record Review abstraction tool
• Utilize HEDIS software to manage assignments

Additional Job Details:

PROJECT: The assignment will encompass medical record review, including data collection from provider offices and abstraction of those records. Medical record review also consists of abstraction from electronic medical records and/or abstraction from faxed/mailed medical records. Training will be provided prior to the start of the assignment. Requirements: • Licensed RN or LPN • Knowledge of HEDIS is strongly preferred • Ability to read and interpret medical records • Professional demeanor and good work ethic • Proven organizational and time management skills • Conscientious problem solver, willing to learn, takes personal pride in their work performance and accuracy • Excellent verbal communication skills – clear, concise and appropriate • Competent in - Microsoft Excel, Adobe Acrobat, Microsoft Outlook • Must have reliable transportation and willing and able to drive within their assigned geographic area (approximately 150 miles) to provider offices • Required work location Downers Grove office • Must be able to lift 25 lbs • Must dress in business casual attire Critical Requirements: • Must commit to duration of the project – cannot take another job elsewhere and abandon the assignment • Be flexible and work under pressure (awareness of and ability to meet deadlines) • Must keep all information collected in a safe, organized and confidential manner • Be able to work a 40 hour week, Monday – Friday


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