New

Quality Improvement Abstractor

Spectraforce Technologies

United States, North Carolina, Raleigh

500 West Peace Street (Show on map)

Nov 18, 2024

Title: Quality Improvement Abstractor

Duration: 05 Months

Location: Remote

7 am to 4 pm, or 8 to 5 pm CST

Day-to-day responsibilities of this the role and a description of the project (Outside of Workday JD):

Will be required to complete training/testing on HEDIS measures (3 attempts). Required score of 95% to pass.
Will perform independent review of medical records and abstract and overread based on HEDIS measure standards.
Critical thinking required in order to apply available resources and references to chart reviews.
Will attend meetings.
Experience with MS Teams is preferred.
Computer literacy is a must. This project requires the use of multiple software platforms. Data entry and tracking in Excel, Microsoft Applications, Sharepoint, QMRM(QSHR), Citrix, etc.

Performance expectations/metrics for this individual and their team:

Performance metrics based on number of medical records reviewed daily (40 average) and accuracy of those reviews (95% required).

Required Skills/Experience:		Preferred Skills/ Experience:
1.	Texas LVN/RN license.	1.	Texas LVN/RN License preferred
2.	Independent worker, critical thinking skills, computer application proficiency.	2.	Previous HEDIS abstraction/overread experience
3.	Previous experience with HEDIS, NCQA, Quality Initiatives/Standards.	3.
Education Requirement:	Associates of Science in Nursing (ADN)	Education Preferred:	Bachelor of Science in Nursing (BSN)
Software Skills Required:	Advanced knowledge of Microsoft Applications including Excel.
Required Certifications:	Texas LVN/RN	Required Testing:	Excel proficiency test with a score of 100%