[Remote] Clinical Abstractor (HEDIS®)

Note: The job is a remote job and is open to candidates in USA. Cotiviti is a company that provides healthcare solutions, and they are seeking a Clinical Abstractor to support the HEDIS® Team. The role involves abstraction of assigned measures, medical record review, and collaboration with the Clinical Abstraction Team. Responsibilities • Works in conjunction with Clinical Abstraction Team Leads and/or Management to complete training and subsequent abstraction by measure specific team assignment. • Abstraction includes medical record review of specific measure criteria and entering findings into abstraction tool. Medical records could either be part of an electronic medical record (EMR)or digital records (i.e. PDF). • Will escalate matters to Clinical Abstraction Team Leads or Manager as appropriate. • Collaborates with other Clinical Abstractors and will always demonstrate Cotiviti core values. • Will adhere to compliance of the remote policy, HIPAA regulations, professional conduct and ethical practice. • Complete all responsibilities as outlined in the annual performance review and/or goal setting. • Complete all special projects and other duties as assigned. • Must be able to perform duties with or without reasonable accommodation. Skills • Current licensed Registered Nurse/Licensed Practical Nurse, RHIT certification or certified Medical Coder. • Minimum of 2 years of experience with NCQA HEDIS® Hybrid measure abstraction. • Experience working with HEDIS® data entry software and reporting tools. • Experience working remotely on team projects. • Must be comfortable communicating via various modes (email, IM, phone) in a timely manner. • Must be comfortable using/learning Microsoft Office products (SharePoint, Outlook, Teams, Word, Excel, etc.). • Must possess strong communication skills to convey information across multiple team members. • Analytical and problem-solving skills. • Ability to use data to identify patterns and trends. • Adaptable with problem solving skills. Company Overview • Cotiviti enables healthcare organizations to deliver better care at lower cost through advanced technology and data analytics that improve the quality and sustainability of healthcare in the United States. It was founded in 1979, and is headquartered in South Jordan, UT, US, with a workforce of 5001-10000 employees. Its website is http://www.cotiviti.com. Apply tot his job Apply To this Job