Cigna Healthcare · 9 hours ago
Hedis Abstractor ( LPN/LVN/RN)
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Responsibilities
Work independently to review, abstract pertinent medical record information, and/or validate accuracy of abstraction in accordance with multiple study criteria.
Obtain information to be abstracted from medical records copied from physician offices/healthcare facilities and linked in the HEDIS data base.
Attain an inter-rater reliability score of 95% or higher for the duration of the project.
Keep all medical records confidential, in accordance with federal and local requirements, and maintain them at the CIGNA HealthCare office.
Perform other duties as assigned to improve HEDIS rates, including gleaming records for additional information and assisting with sample validation.
Qualification
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Required
Current LVN/LPN or RN Nurses may reside and be licensed in any state.
Minimum 2yrs HEDIS MRR experience
Knowledgeable of HEDIS Specifications
Data entry experience
Detail oriented
The Abstraction/Over-read nurse must be able to attain an inter-rater reliability score of 95% or higher for the duration of the project.
Preferred
Cotiviti experience a plus
Bachelor's degree or equivalent work experience
Company
Cigna Healthcare
We are a health benefits provider that advocates for better health through every stage of life.
Funding
Current Stage
Public CompanyTotal Funding
unknownKey Investors
SMILE Health
2023-08-08Non Equity Assistance· Undisclosed
1982-04-08IPO· nyse:CI
Leadership Team
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