HEDIS Medical Record Analyst – Temporary

🔥 4 minutes ago

🥔 Idaho, Oregon, +2 more states – Remote

🥔 Idaho – Remote 🌲 Oregon – Remote ⛷️ Utah – Remote ☕ Washington – Remote

💵 $41 - $48 / hour

⏰ Full Time

🟡 Mid-level

🟠 Senior

🧐 Analyst

👻 Ghost score 0%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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Cambia Health Solutions

WebsiteLinkedInAll Job Openings

5001 - 10000 employees

🏥 Healthcare

⚕️ Healthcare Insurance

🤝 Non-profit

Healthcare • Healthcare Insurance • Non-profit

Cambia Health Solutions is a nonprofit, mission-driven healthcare company based in Portland, Oregon, that operates consumer-focused health care and health insurance businesses and invests in health innovation. It serves as the parent organization for the Regence family of health plans and runs initiatives and subsidiaries focused on improving care delivery, providing insurance products, and developing digital health tools and services.

📋 Description

• Retrieve, abstract, and/or over-read medical records to capture required data elements for HEDIS reporting • Collect member medical records from EMR/EHR systems • Review electronic medical records for required documentation • Download medical record images to corporate drives • Log receipt of medical record documentation in appropriate software • Pursue records via phone, fax, mail, or direct onsite pickup when needed • Enter pertinent medical record data into the specified HEDIS database to support reporting and Quality Improvement • Over-read records abstracted by other HEDIS Medical Record Analysts • Prepare assigned records for abstraction • Document retrieval progress and findings for each EMR accessed • Communicate professionally with provider offices • Abstract specified clinical data elements for HEDIS reporting • Document abstraction findings using designated paper and/or electronic tools • Communicate additional pursuit strategies to team members according to department policies and procedures

🎯 Requirements

• Excellent interpersonal skills and ability to work effectively in a team environment • Demonstrated command of medical terminology, EMR/EHR systems, medical record documentation, and clinical processes • Demonstrated problem-solving ability • Knowledge of Microsoft Office products desirable • Understanding of HIPAA • Knowledge of ICD-9 and ICD-10-CM, CPT, HCPCS, and DRG coding conventions a plus • Knowledge of FACETS a plus • Experience with quality oversight and teaching desired • Prior experience in HEDIS and medical record retrieval and/or abstraction for quality or research projects • Associate degree in Nursing or related field and 3 years of experience in a clinical setting, working with medical records, and/or EMR/EHR systems, or equivalent combination of education and experience • Preferred valid Registered Nursing (RN/LVN/LPN) license, CPC certification, or CCS certification • Must have wired internet connection, not satellite or cellular, with minimum 5 Mb upload and 10 Mb download speeds for work-from-home option • New hires need access to a personal mobile device for MFA setup • Background check required

🏖️ Benefits

• Work from home options for most roles, subject to wired internet requirements • Competitive salary • Generous benefits are mentioned generally, but this temporary role is explicitly non-benefited • Career growth and development opportunities • Cambia-supported community outreach participation • Employee resource groups • Personal mobile device access for required MFA setup