Data Abstraction Specialist, HEDIS

HealthPartners is hiring a Data Abstraction Specialist, HEDIS. This position completes chart retrieval and abstraction to support our annual HEDIS* compliance audit, MN Community Measurement (MNCM) and data collection for other departments in the company.

*HEDIS - Healthcare Effectiveness Data and Information Set. Reporting national HEDIS rates is a required part of our health plan accreditation process. HealthPartners is also required to submit these rates to the Minnesota Department of Health (MDH) and Centers for Medicare & Medicaid Services (CMS). Government regulators, health plans, provider organizations, employers use HEDIS to compare plan performance.

This role will be a casual position / not benefits eligible. The core hours will be between the months of January and May and they will work around 25-35 hours per week. During the months June through December there will be limited hours available but they may have an opportunity for some project work.

ACCOUNTABILITIES:

Conducts data collection and abstraction of medical records for quality audits and other projects

Coordinates chart review with medical groups/clinics

Utilizes claims system to research member encounters to supplement work process

Accurately enters abstracted data into data entry tool

Supports the HEDIS audit as assigned

Supports for data collection for risk adjustment audits throughout the year

Performs other duties as assigned

REQUIRED QUALIFICATIONS:

Bachelor's degree in related field or four years related work experience in lieu of degree

Four years' experience with EMR (Electronic Medical Record) systems or at least four years experience in the health care industry preferably in data abstraction, medical chart review, utilization review, prior authorization, case management, or clinical data/reporting in an EMR

Knowledge of medical terminology, clinical data and medical records

Effective organizational skills and ability to work independently to coordinate, prioritize and complete work assignments

Effective written and verbal communication skills

Exercise initiative, flexibility and willingness to work with a team for a common goal

Good computer skills including Microsoft office products and ability to learn new software used for data entry

PREFERRED QUALIFICATIONS:

RN or LPN

Bachelor's degree in related field

HMO or Managed care experience

DECISION-MAKING:

Use body of knowledge, health care experience and training materials to independently work with clinics to complete chart review projects.