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in Urbandale, IA

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Hours Full-time, Part-time
Location Urbandale, Iowa 50323
Urbandale, Iowa

About this job

Requires a licensed nurse; RN, LPN, LVN, Licensed professional graduate of an accredited school of nursing.

Candidates must have computer skills and analysis capabilities in order to navigate CPT4 code and ICD9 and ICD10 DX based on HEDIS Technical Specification requirements.

For immediate consideration please email me your updated resume.

Candidate will work with the HEDIS team to collect member records and conduct reviews of these records by contacting providers and placing the results collected into a specific data base. If necessary the medical record review is conducted on site in provider office or hospital institution.

This candidate will be required to handle a high volume of telephonic interaction with provider offices. Candidates must follow up on requested medical records with providers. Must keep excellent documentation of research and contact information. Candidate must pass a medical record abstraction test prior to starting actual record reviews.

This is a high production environment and candidates must adhere to measured productivity requirements, module testing and at times retesting to meet minimum requirements. Sharing of department responsibilities as assigned. Required to perform research on internal claims systems. Must be willing to develop and share strategies to accomplish goals. Work under the supervision of an internal staff and designated lead in order to achieve goals and keep the project moving. Reviews require data analysis and research within the data systems. Candidates must have excellent skill set to read and interpret physician handwriting.

Candidates must have critical thinking skills as they will conduct research in a thoughtful and methodical search in order to locate specific claim information. Research includes all resources provided in order to find best information. Examples of deep dive research would be based on specific platforms (i.e. Immunization registries, local claims system membership and defaulted claim information).




About Aerotek:

Our people are everything. As a Best of Staffing® Client and Talent leader, Aerotek® Inc. has distinguished itself as a leader in recruiting and staffing services, by having a deep understanding of the intersection of talent and business. As a strategic partner to more than 17,000 clients and 300,000 contract employees every year, Aerotek's people-focused approach yields competitive advantages for its clients and rewarding careers for its contract employees. Headquartered in Hanover, Md., Aerotek operates a network of over 230 non-franchised offices with more than 6,000 internal employees dedicated to serving our customers. Aerotek is an operating company of Allegis Group, a global talent solutions provider. To learn more, visit .

Aerotek is acting as an Employment Agency in relation to this vacancy.