Quality Assurance Nurse Reviewer (Overread Team) - (100% REMOTE) ID-1658

Note: Must have a reliable internet connection and experience working in a remote setting.
 
Job Description

 
Required Skills:

  • Follow established procedures for conducting Quality Assurance Overread reviews of abstracted medical records
  • Extract electronic medical record data using multiple systems
  • Enter pertinent data from paper and electronic medical records into database as required by established quality assurance abstraction procedures
  • Communicates effectively and professionally
  • Meet or exceed productivity and accuracy requirements
  • Ability to work independently and in team environment
  • Excellent time management and prioritization skills
  • Excellent communication skills (written and verbal)
  • Strong attention to detail
  • Ability to multi-task
  • Flexibility with assignment change
  • Highly organized
  • Evidence of strong computer skills including the Microsoft office suite (e.g., Microsoft Outlook, Excel, and Word)
  • Maintain patient confidentiality by protecting patient information from unauthorized disclosure
  • Other duties as assigned

Education/Experience:

  • RN or LPN/LVN license.
  • 3-5 years recent HEDIS medical record review experience preferred
  • Quality improvement or medical record review experience preferred
  • Computer experience (i.e., Excel, Word, Outlook) required
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