Medical Records Specialist - HEDIS

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Written by AI from the job title and company, not by VIVA USA Inc., so some details may not match this job. The employer's own page has the real description.

Overview

The Medical Records Specialist - HEDIS at VIVA USA Inc. plays a crucial role in optimizing the accuracy and completeness of medical records to ensure compliance with HEDIS (Healthcare Effectiveness Data and Information Set) standards. This position requires a detail-oriented professional who will gather, analyze, and validate health information, collaborating with healthcare providers to enhance patient care quality and support organizational goals. The specialist will work closely with clinical data and quality assurance teams to ensure that all data is accurate, timely, and effectively utilized for reporting and improvement initiatives.

Job Responsibilities

• Collect, review, and analyze medical records to ensure compliance with HEDIS measures.
• Collaborate with healthcare providers and internal teams to obtain necessary health information.
• Validate and enter data into electronic health record systems accurately and efficiently.
• Prepare reports highlighting compliance with HEDIS standards and identify areas for improvement.
• Assist in educating staff and providers about HEDIS requirements and documentation practices.
• Conduct regular audits on medical records for accuracy and completeness.
• Stay updated on changes to HEDIS metrics and reporting requirements.
• Support quality improvement initiatives by providing insights based on collected data.

Qualifications

• Bachelor’s degree in health information management, healthcare administration, or a related field preferred.
• Certification as a Registered Health Information Technician (RHIT) or Registered Health Information Administrator (RHIA) is highly desirable.
• Minimum of 2 years of experience in medical records management or health information systems.
• Strong understanding of HEDIS measures, medical coding, and compliance regulations.
• Proficient in the use of electronic health records (EHR) and health information systems.
• Excellent analytical and problem-solving skills.
• Strong attention to detail and ability to work independently.
• Effective communication skills, both verbal and written.

Technologies & Tools

This position utilizes a variety of technologies and tools including electronic health record (EHR) systems, data analysis software, coding software, and reporting tools. Familiarity with healthcare databases and statistical software is an asset. Strong computer proficiency, including Microsoft Office Suite and other relevant applications, is also essential for efficient data management and reporting tasks.

Ideal Candidates

The ideal candidate for the Medical Records Specialist - HEDIS role possesses a strong commitment to accuracy and quality in healthcare documentation. They are analytical thinkers with a proactive approach to problem-solving and a passion for improving healthcare delivery through data management. Strong interpersonal skills and the ability to work collaboratively with diverse teams are essential, as is a dedication to maintaining the confidentiality and integrity of patient information. A continuous learner, the candidate stays informed about industry trends and changes related to healthcare data and compliance.