HEDIS Chart Review, Over-reading, Quality Management
- Researched and validated relevant clinical data, medical data, provider information, and electronic records to determine compliance with HEDIS measures.
- Evaluated / over-read HEDIS abstractions, applying established guidelines and providing professional feedback to abstractors.
- Researched and resolved medical record discrepancies including ensuring accuracy of patient / provider information.
- Resolved issues quickly to successfully maintain maximum production and 100% accuracy goals throughout HEDIS season.
- Employed methods of quickly identifying and organizing appropriate HEDIS data to meet project needs.
- Maintained accuracy, completeness, and security for medical records and health information in multiple data systems.
- Participated in team meetings and collaborated closely with project team members.
- Worked additional hours during peak work periods to help keep projects on schedule.