Medical Record Review Auditor - Temporary, Part-Time (
Job Overview
Employment Type
Temporary
Compensation
Type:
Hourly
Rate:
Range $19.00 - $30.00
Benefits
Health Insurance
Paid Time Off
Flexible work environment
remote work options
Professional Development
team-oriented culture
comprehensive training
Job Description
PacificSource is a leading healthcare organization dedicated to providing quality, affordable care to its members. As a company committed to inclusivity and diversity, PacificSource values the contributions of every employee and strives to create a supportive work environment where individual talents and strengths are nurtured. The organization is committed to equal opportunity employment and complies with all regulations ensuring fairness regardless of veteran status, disability, race, religion, sex, sexual orientation, gender identity, national origin, genetic information, or age. With a focus on delivering healthcare that truly makes a difference, PacificSource plays a vital role in helping its members access essential... Show More
Job Requirements
- Valid nursing license (RN or LPN)
- Experience in acute care or primary care clinic or disease management
- Experience with electronic medical records
- Ability to achieve 95 percent accuracy in audits
- Ability to maintain confidentiality and protect PHI
- Ability to perform repetitive tasks and light lifting
- Ability to sit or stand for extended periods
- Ability to communicate clearly and effectively
- Ability to follow HIPAA and privacy regulations
Job Qualifications
- Valid nursing license (RN or LPN)
- Experience in acute care, primary care clinic or disease management
- Experience using or viewing electronic medical records
- Experience performing chart audits preferred
- Strong organizational and communication skills
- Ability to maintain confidentiality and follow privacy policies
- Proficiency with certified HEDIS software and data entry
- Strong attention to detail and accuracy
- Effective teamwork and collaboration skills
- Adaptability to remote and office work environments
Job Duties
- Review medical records obtained by a vendor and available electronically
- Perform medical record reviews on members according to NCQA HEDIS specifications
- Enter data using certified HEDIS software on laptop computer after training
- Review medical record for confirmation of member identification, data elements, numerator events and exclusions per HEDIS specifications
- Document numerator events and exclusions in the software program, photographing or capturing digital images of medical record pages
- Audit with 95 percent accuracy
- Protect PHI by securing laptop and computer and following confidentiality protocols
- Meet department and company performance and attendance expectations
- Follow PacificSource privacy policy and HIPAA regulations
- Perform other duties as assigned
Job Qualifications
Experience
Mid Level (3-7 years)
Job Location
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