Prior experience in performing chart audits is preferred.Candidate must commit to attending all required training and conference calls assigned for the project.Candidate must return all equipment that is supplied to them in good working condition and in a timely manner at the end of the projectMedical knowledge/terminology is required.Ability to read and interpret medical records.Professional demeanor and good work ethic.Computer savvy: Microsoft Word, Excel, email, and Adobe reader required. Know how to save a file to a folder.
5 or more seasons of HEDIS experience in reviewing medical records is required
RN/LVN with an associate or bachelor degree is preferred but not required. Successful HEDIS review experience may be substituted for licensure.
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