Job Description :
HEDIS Nurse (Regional Assignments) Requirements:


Must be Registered Nurse or LPN. Bachelor''s Degree preferred.
3-5 years'' clinical experience.
3-5 years'' chart auditing/abstraction experience which will include 1 year experience with HEDIS for RNs.
Flexibility to travel - MUST HAVE own transportation to area clinics/hospitals as needed.
For field nurses, experience scheduling office appointments and traveling to physician offices is preferred.
If candidate is an LPN, they must have 2 years of clinical and HEDIS experience. EMR/EHR experience a plus.
Must have basic knowledge of how to use a laptop computer and smart phone.

Provided by company: Computer equipment, encrypted zip drives and mobile phone for uploading, transferring and scanning files to our secure file transfer site.

Responsibilities include:

Visit physicians'' offices to retrieve and review specific requested documentation from medical records
Scan relevant components of the medical record to support reviews performed
Upload all scanned medical records daily
Maintain lines of communication with the assigned clinical lead, project coordinator and project manager
Successfully complete required training, testing and quality assessment
Communicate effectively and professionally with office managers, health systems and any other facility or care provider
Schedule and confirm all appointments based on your independent assignment for efficiency
Must be willing to travel, have a reliable means of transportation, valid driver''s license and auto insurance
Abide by all HIPAA and Independence patient confidentiality requirements
Availability of at least 8 hours a day, 5 days per week.
Business attire required
This contract is project based employment and is not considered full time permanent employment

Interviewing immediately, Training (paid) is Required for ~2 weeks, beginning in January:


Jan 7th thru 11th - candidates will expect to be in Philadelphia M-F from 8:30am to 5pm
Jan 15th thru 18th and Jan 25th - training on measures - candidates will expect to be in Philly M-F from 8:30am to 5pm (unless otherwise specified)

Client : Pyramid Consulting Inc.