Job Details

Job Title: HEDIS/Quality Improvement Medical Records Collector

Location: Columbus, OH or Central Ohio Area Only

Duration: 9 to 18 months

Shift: 8:00 AM – 5:00 PM (CST/EST)

Position Type: Contract (Temp to Hire: No)

Required Experience: 2+ years

Job Overview:

Healthcare is seeking a detail-oriented and dedicated HEDIS/Quality Improvement Medical Records Collector to support our annual HEDIS audits and other quality improvement initiatives. This role involves collaborating with healthcare providers to retrieve medical records using various methods, including phone calls, fax, mail, electronic medical record (EMR) systems, and onsite visits. The ideal candidate will have experience with HEDIS audits, medical record retrieval, and a strong understanding of HIPAA regulations.

Key Responsibilities:

• Provider Outreach & Medical Record Retrieval: Initiate contact with healthcare providers via phone, fax, mail, EMR systems, or direct onsite visits to retrieve medical records for HEDIS audits.
• Medical Record Documentation & Organization: Track and document outreach efforts, ensuring detailed notes on call attempts and communication in the tracking system. Organize and rename files according to established guidelines.
• Data Management & Upload: Upload and process collected medical records into the HEDIS application and internal databases, ensuring completeness and accuracy of the records before submission.
• Project Coordination Support: Assist the HEDIS team and leadership in managing project timelines, tracking medical records, and coordinating efforts for timely collection.
• Vendor Coordination: Work with vendors to support record retrieval, following up as needed to ensure timely and accurate submissions.
• Problem Solving & Escalation: Identify non-responsive providers and challenging cases, escalating issues as needed to ensure timely record collection and submission.
• Travel Requirements: May require onsite visits to provider offices for medical record retrieval.

Required Skills & Qualifications:

• HEDIS & Medical Records Knowledge: Experience with HEDIS audits and medical record retrieval processes. Familiarity with EMR systems and handling PHI securely.
• HIPAA Compliance: In-depth understanding of HIPAA regulations and confidentiality standards when handling sensitive medical information.
• Customer Service & Communication Skills: Strong verbal and written communication skills with professional phone etiquette. Excellent customer service and active listening skills.
• Attention to Detail: Strong organizational skills with a keen eye for accuracy and detail in tracking medical records and related documentation.
• Technical Proficiency: Ability to work with Microsoft Office Suite and data analysis tools (e.g., Excel). Comfortable learning new software programs.
• Time Management & Prioritization: Strong ability to prioritize tasks and manage multiple deadlines in a fast-paced environment.

Additional Information:

• Candidates must be able to work within the CST or EST time zone and maintain a standard 8:00 AM to 5:00 PM work schedule.
• This is not a temp-to-hire position; the role is contract-based for a minimum of 9 months, with potential for extension.

If you meet the qualifications and are passionate about improving healthcare quality, we encourage you to apply!