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Medical Records Reviewer

Overview

The Visiting Nurse Service of New York (VNSNY) is the nation's largest not-for-profit home- and community-based health care organization, serving the five boroughs of New York City, and Nassau, Suffolk, and Westchester Counties. For 125 years, VNSNY has been committed to meeting the health care needs of New Yorkers with compassionate, high-quality home health care. We offer a wide range of services, programs, and health plans to meet the diverse needs of our patients, members, and clients from before birth to the end of life.

Each day, more than 13,000 VNSNY employees- including nurses, rehabilitation therapists, social workers, other allied professionals, and paraprofessionals- deliver compassionate care, unparalleled medical expertise, and 24/7 solutions and resources to more than 48,000 patients and members, helping them to live the best lives possible in their homes and communities.

Responsibilities

Provides ongoing HEDIS/QARR medical record collection and abstraction; and supports the collection of records related to Quality Managements initiatives. Provides accurate assessment of provider performance against HEDIS/QARR standards and procedures. Adheres to strict HIPAA confidentiality requirements for protected health information. Works under general supervision.

Education: Associates Degree in Nursing, Health Care Administration, Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), Certified Coder, Allied Health professional or other health related field required.

Experience: Minimum two year experience in medical record retrieval and review. Minimum of one year quality improvement experience in Medicare, Medicaid or Commercial Health Plan Knowledge of HEDIS/QARR standards, medical terminology, strong computer and organizational skills. Ability to evaluate medical records with attention to detail. Ability to use databases and prepare reports as needed. Ability to multitask and troubleshoot problems independently. Effective oral and written communication and interpersonal skills required. Proficient in personal computer, preferably Microsoft Windows Word, PowerPoint, Excel and Access required.

CA2019