Medical Record Review Auditor - Temporary, Part-Time (
Job Overview
Employment Type
Temporary
Compensation
Type:
Hourly
Rate:
Range $18.75 - $29.50
Work Schedule
Standard Hours
Benefits
Health Insurance
Dental Insurance
Paid Time Off
Flexible work arrangements
Professional development opportunities
Retirement Plan
Employee assistance program
Job Description
PacificSource is a well-established healthcare company dedicated to improving the lives of its members by helping them access quality, affordable care. As an equal opportunity employer, PacificSource embraces diversity and is committed to fostering a welcoming work environment where individual differences are valued and respected. The company upholds a culture centered around core values that emphasize integrity, teamwork, customer service, open communication, community involvement, social justice, equity, diversity, inclusion, creativity, innovation, and excellence. This commitment to values not only guides business operations but also supports the professional growth and satisfaction of its employees.\n\nThe role available is a temporary contract position... Show More
Job Requirements
- Valid nursing license (RN or LPN)
- experience in acute care, primary care clinic, or disease management
- experience with electronic medical records
- knowledge of HEDIS specifications
- ability to audit with 95 percent accuracy
- commitment to protecting PHI
- ability to work remotely and in an office setting
- strong organizational and communication skills
- ability to follow confidentiality rules and HIPAA laws
Job Qualifications
- Valid nursing license (RN or LPN)
- acute care experience or experience in a primary care clinic or disease management
- experience using or viewing electronic medical records
- experience performing chart audits preferred
- strong adaptability
- building customer loyalty
- building strategic work relationships
- building trust
- commitment to continuous improvement
- contributing to team success
- planning and organizing
- maintaining high work standards
- accountability
- collaboration
- effective written and verbal communication
- flexibility
- active listening
- organizational skills
- problem solving
- teamwork
Job Duties
- Review medical records obtained by a vendor and available electronically at the PacificSource office
- perform medical record review according to NCQA HEDIS specifications
- enter data using certified HEDIS software on laptop computer after training
- review medical records for member identification, data elements, numerator events, and exclusions per HEDIS specifications
- document numerator events and exclusions in software program and capture digital images of relevant medical record pages
- audit with 95 percent accuracy
- protect PHI by securing laptop and passwords and maintaining confidentiality
- handle photocopied medical records according to confidentiality and safeguarding policies
- meet department and company performance and attendance expectations
- follow PacificSource privacy policy and HIPAA laws
- perform other duties as assigned
Job Qualifications
Experience
Mid Level (3-7 years)
Job Location
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