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Seeking RN & LPN HEDIS/QARR (Melville)

  • Address:Melville, NY 11747 (map)
  • Date Posted:04/01/13
  • Job Type:Contract
  • Description:
  • SEEKING HEDIS QUALITY CLINICAL NURSE AUDITOR ( TEMP)

    The primary function of the HEDIS Quality Clinical Nurse Auditor is to assess and audit medical record charts for HEDIS/QARR compliance documentation and provider incentive auditing.

    - conducting on and off-site audit survey for collection of Health Plan Employer and Data information Set and Quality Assurance Reporting Req ( HEDIS & QARR) audit.

    - Ensure data integrity of all individually performed clinical audits, which have been performed and proprietary requirements of assigned activites
    -Project professional and customer focused attitude in interaction
    - Maintain provider and member confidentiality by ensuring compliance with HIPAA, HIP, regulatory and accreditation confidentiality policies and procedures.

    Knowledge Skills & Abilities:
    - Excellent assessment skills for medical record review
    -strong interpersonal and organizational skills
    -ability to meet strict deadlines
    -ability to travel to various location to conduct on-site audits
    -team player

    QUALIFICATIONS:
    -Valid and current nursing ( LPN) , (RN) or medical record degree is requiered
    -minimum of 2-5 years clinical chart auditing experience
    -working knowledge of MW and EXCEL
Ad ID: 22822667
    • Posted by: Acess_Staffing | View all ads
    • Profile: Registered user, Active since 08/2012
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