Job description

Job Posting

Work Location: Fully Remote - U.S.

Position:

Change Healthcare is hiring multiple Client Response Representatives who will connect with clients to ensure agreement in coding or abstraction results by reviewing requests, making decisions, and relaying appropriate information to the client and internal team. This position reports to a HEDIS Measure Manager and will work with a dynamic team of seasonal remote HEDIS staff.

Core Responsibilities:

• Identify appropriate information from medical records according to NCQA HEDIS Technical Specifications and Change Healthcare guidelines
• Enter data into Change Healthcare proprietary software
• Provide clear and professional responses to Service Request tickets, marking such with an appropriate resolution status
• Provide coaching comments to abstractors for errors made, marking such with an appropriate error type
• Maintain accuracy thresholds as set forth by Change Healthcare
• Comply with HIPAA laws and regulations

Requirements:

• At least 2 years of recent HEDIS experience
• Either: RN, NP, PA, LPN, with a current license OR Certified Coder, RHIT or RHIA through AAPC or AHIMA
• Working knowledge of HIPPA requirements, recognizing a commitment to privacy, security, and the confidentiality of all medical chart and patient health information
• High-speed internet access and phone service
• Strong computer skills, including familiarity with internet applications and MS Office (e.g., Excel and Word)
• Availability to work a minimum of 20 hours per week

Preferred Qualifications:

• Availability to work up to 40 hours per week
• In addition to HEDIS experience, we look for Inpatient or Outpatient clinical experience in any of the following areas: pediatrics, health department, school nurse, medical surgical, cardiology, diabetes, oncology, OB/GYN, geriatrics, and urgent care.

Working Conditions/Physical Requirements:

• General office demands

Unique Benefits*:

• 100% work from home
• Flexible working schedule (20 minimum hours per week)
• Hourly compensation
• Self-paced paid training

Job Type: Part-time

Pay: $40.00 per hour

Experience:

• HEDIS Quality Assurance: 2 years (Required)

License/Certification:

• N, NP, PA, LPN/Coder, RHIT or RHIA (AAPC or AHIMA) (Preferred)

Work Location: Remote

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