Duration: 12 Weeks
Location: Maumee, OH
Job Description
Performs audits of medical records from primary care and specialty provider offices to collect medical facts based on regulatory agency criteria to support insurance plan quality ratings and re-credentialing.
Compiles results and enters data into an electronic database of medical record information.
Communicates directly with provider offices via telephone, fax, or email to facilitate medical record collection.
Must handle a high volume of reviews in a timely manner while ensuring accuracy.
Ability to learn and understand medical terminology.
Highly-detail oriented and organized.
Previous experience with medical charts and terminology is required.
Requirements
Must have experience with HEDIS medical records review process.
Someone who has or previously held an RN license, Medical Assistant, CNA, or LPN.
Another alternative is a Medical Coder who does have a current and valid certification.
Maybe a Medical Assistant who switched fields from clinical to HIM tech. Or an RN who previously was a HIM Tech and is now an RN.
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