HEDIS Coordinator in El Segundo, CA at Volt

Date Posted: 7/26/2019

Job Snapshot

Job Description

Volt has an immediate opening for a HEDIS Coordinator in El Segundo.

The HEDIS Coordinator will support the of retrieving charts for the HEDIS Medical Record Review (MRR) annual season and office season project. 

Job Duties:

  • Call provider offices, medical records departments and hospitals to request medical records. Call offices to verify providers and request charts related to HEDIS measures.
  • Document progress via data entry in abstraction tool (Inovalon QSHR software).
  • Coordinate with Project Coordinator the Lead Coordinator and Medical record reviewers to manage case load
  • Communicate with BSC MRR Team to effectively manage project assignment
  • Will work as a member of a team to coordinate and maintain a system to organize the medical records and other materials/resources which are required for the overall MRR processes to work and flow effectively
  • Make follow-up calls regarding expected charts, provide information to offices
  • Monitor RightFax, email inbox, SFTP, scan medical records, send fax requests to providers, prepare and sort received mail
  • Research provider information and claims information using online websites/internal applications
  • Daily use of Microsoft Excel to manage various projects and report to leads on progress and barriers
  • Perseverance to find the correct information to retrieve the medical record
  • Use vendor and lab portal to locate additional information
  • Other duties as assigned, including possible minimal traveling

Volt is an Equal Opportunity Employer.