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HEDIS Specialist in Doral, FL at DISYS

Date Posted: 11/29/2018

Job Snapshot

  • Employee Type:
    Contractor
  • Location:
    Doral, FL
  • Job Type:
  • Experience:
    Not Specified
  • Date Posted:
    11/29/2018

Job Description

Job Title: HEDIS Specialist

Location: Doral, FL

Duration: 3+ months


Position Description & Responsibilities:

Under the direction of the HEDIS Program Manager, supports the annual HEDIS project management by coordinating the identification, collection and abstraction of medical records and other data in collaboration with other HEDIS staff.

• Assists the Manager in the coordination and preparation of the HEDIS medical record review which includes ongoing review of records submitted by providers and the annual HEDIS medical record review.

• Assists Manager in training abstractor staff and participates in the medical record IRR.

• Identifies member service gaps based on data loaded in the MHI HEDIS application.

• Collects medical records and reports from provider offices based on member needed services reports and gaps and loads data into the HEDIS application.

• Works with the corporate HEDIS team to monitor accuracy of abstracted records as required by HEDIS specifications.

• Assists as needed in support of accreditation activities such as NCQA reviews, CAHPS and state audits.



Knowledge/Skills:

• Proficient with PC-based systems and the ability to learn new information systems and software programs

• Basic understanding of Health Plan billing practices and information systems  

• Maintain confidentiality and comply with Health Insurance Portability and Accountability Act (HIPAA)

• Ability to establish and maintain positive and effective work relationships with coworkers, clients, members, providers and customers


Education: State Licensed Vocational Nurse or LPN or Registered Health Information Technician (RHIT), or Certified Medical Record Technician with training in coding procedures.


Experience: Coding and medical record abstraction experience. Managed care experience. Basic knowledge of HEDIS and NCQA.


If interested kindly apply or reach out to,





Karthik Kumar

Technical Recruiter

Digital Intelligence Systems, LLC (DISYS)

Phone: (972) 865-4215 | www.disys.com

Email: karthik.kumar@disys.com



Job Requirements


• Proficient with PC-based systems and the ability to learn new information systems and software programs


• Basic understanding of Health Plan billing practices and information systems  


• Maintain confidentiality and comply with Health Insurance Portability and Accountability Act (HIPAA)


• Ability to establish and maintain positive and effective work relationships with coworkers, clients, members, providers and customers 

Education: State Licensed Vocational Nurse or LPN or Registered Health Information Technician (RHIT), or Certified Medical Record Technician with training in coding procedures. 

Digital Intelligence Systems, LLC. is an Equal Opportunity Employer, M/F/D/V. We do not discriminate against any employee or applicant because they inquired about, discussed, or disclosed compensation. Email recruitinghelp @ disys.com to contact us if you are an individual with a disability and require accommodation in the application process.

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