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 schedule
remote work options
Professional development opportunities
Diversity and inclusion initiatives
Job Description
PacificSource is a leading not-for-profit health insurance company dedicated to improving the health and well-being of its members by providing access to quality, affordable healthcare. With a strong commitment to the communities it serves, PacificSource strives to foster a diverse and inclusive environment where all employees and members feel respected and valued. The company is an equal opportunity employer, welcoming applicants without regard to veteran status, disability, race, religion, gender, or age, among other protected categories. PacificSource's culture centers on seven core values that emphasize integrity, teamwork, customer service, open communication, community involvement, social justice, and innovation. This commitment ensures... Show More
Job Requirements
- Valid nursing license (RN or LPN)
- Experience in acute care or primary care clinic or disease management
- Experience using or viewing electronic medical records
- Ability to audit with 95 percent accuracy
- Ability to maintain confidentiality and follow HIPAA regulations
- Ability to adapt to remote and office work environments
- Strong organizational and communication skills
Job Qualifications
- Valid nursing license (RN or LPN)
- Experience in acute care, primary care clinic, or disease management
- Experience with electronic medical records
- Experience performing chart audits preferred
- Strong communication skills
- Effective organizational and planning abilities
- Ability to work independently and maintain confidentiality
Job Duties
- Review medical records obtained by vendor and electronically at PacificSource office
- Perform medical record review according to NCQA HEDIS specifications
- Enter data using certified HEDIS software after training
- Confirm member identification and necessary data elements per HEDIS specifications
- Document numerator events and exclusions in the software and by capturing medical record pages
- Maintain 95% accuracy in auditing
- Protect PHI by following confidentiality and security protocols
- Adhere to company privacy policies and HIPAA regulations
- Meet department and company performance and attendance expectations
- Perform other duties as assigned
Job Qualifications
Experience
Mid Level (3-7 years)
Job Location
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