Seasonal HEDIS Abstractor I/II

Blue Cross of Idaho is seeking a seasonal Medical Record Abstractor that will conduct a comprehensive review of medical records in accordance with NCQA guidelines and HEDIS technical specifications. This position can be remote within a mutually acceptable location. Level I We're looking for a Medical Record Abstractor with: Experience: 2 years’ health related, medical record review, or relevant experience to include medical terminology. Level II Experience: 3 years’ health related, medical record review, or relevant experience to include medical terminology. Education: Bachelor’s Degree in Healthcare, Science, Nursing, Social Work or related field; or equivalent work experience (Two years’ relevant work experience is equivalent to one-year college) Preferred License

• Registered Nurse
• Licensed Practical Nurse
• Medical Assistant What a day of a Medical Record Abstractor would look like:
• With a high level of accuracy, interpret relevant clinical criteria through review of medical records.
• Review and interpret HEDIS technical specifications (training is provided)
• Review assigned medical records and abstract clinical data elements for HEDIS reporting.
• Enter data collected into HEDIS platform (Inovalon).
• Perform other duties and responsibilities as assigned.
• Review Idaho Health Data Exchange for pertinent medical records.
• Remotely access assigned Electronic Health Records to abstract medical records.
• Collaborate with abstraction and administrative team to ensure a successful HEDIS audit. As of the date of this posting, a good faith estimate of the current pay range is $28.23 to $48.26. The position is eligible for an annual incentive bonus (variable depending on company and employee performance. The pay range for this position takes into account a wide range of factors including, but not limited to, specific competencies, relevant education, qualifications, certifications, relevant experience, skills, seniority, performance, shift, travel requirements, internal equity, geography, business or organizational needs, and alignment with market data. At Blue Cross of Idaho, it is not typical for an individual to be hired at or near the top range for the position. Compensation decisions are dependent on factors and circumstances at the time of offer. We offer a robust package of benefits including paid time off, paid holidays, community service and self-care days, medical/dental/vision/pharmacy insurance, 401(k) matching and non-contributory plan, life insurance, short and long term disability, education reimbursement, employee assistance plan (EAP), adoption assistance program and paid family leave program. We will adhere to all relevant state and local l Reasonable accommodations To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed above are representative of the knowledge, skill and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. We are an Equal Opportunity Employer and do not discriminate against any employee or applicant for employment because of race, color, sex, age, national origin, religion, sexual orientation, gender identity, status as a veteran, and basis of disability or any other federal, state or local protected class. Apply To this Job Apply for this job

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