HEDIS Medical Record Review Nurse
Delaware Physicians Care - Newark, DE

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MRR PROJECT: The assignment will encompass medical chart data collection from provider offices and/or abstraction from medical records received by fax/mail.

MEDICAL RECORD REVIEW AUDIT: The assignment will encompass review of the medical record data collection for a select number of records for pertinent medical record documentation practices.

Training will be provided prior to the start of the assignment.

Duties Include:
Make and confirm site visit appointment prior to the date of appointment
Provide patient lists to provider offices
Locate and review all assigned medical charts, perform abstraction and copy all chart documentation per Aetna specifications
Complete the Medical Record Review Audit checklist as required

Licensed RN or LPN with 3 years nursing experience. Must provide proof of licensure in DE or compact state at time of interview
Knowledge of MRR is strongly preferred
Knowledge of Medicaid and Medicare strongly preferred
Ability to read and interpret medical records
Professional demeanor and good work ethic
Conscientious problem solver, willing to learn, take personal pride in their work performance/accuracy
Excellent verbal communication skills – clear, concise and appropriate
Ability to use office machines (fax, e-mail, computer, etc.)
Must have access to a secure fax machine
Proven organizational and time management skills
Must have reliable transportation and willing and able to drive within their assigned geographic area (approx. 150 miles)
Must be able to lift 25 lbs
Must dress in business casual attire

Critical Requirements:
Must commit to duration of the project – cannot take another job elsewhere and abandon the assignment
Be flexible and work under pressure (awareness of and ability to meet deadlines)
Able to multitask
Must keep all information collected in a safe, organized and confidential manner
Be able to work 40 hours/week, Monday – Friday during the abstraction process
Candidate must commit to a full 24 hours of training and testing

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