Specialist, Data Abstraction

Job Description

HealthPartners is hiring a Data Abstraction Specialist complete chart retrieval and abstraction to support our annual HEDIS* compliance audit. The chart retrieval and abstraction is on behalf of MN Community Measurement (MNCM). The data they care collection supports audits for other departments in the company

• HEDIS - Healthcare Effectiveness Data and Information Set. Reporting national HEDIS rates is a required part of our health plan accreditation process. HealthPartners is also required to submit these rates to the Minnesota Department of Health (MDH) and Centers for Medicare & Medicaid Services (CMS). Government regulators, health plans, provider organizations, employers use HEDIS to compare plan performance.
  
  

This role will be a casual position / not benefits eligible. The core hours will be between the months of January and May and they will work around 25-35 hours per week. During the months June through December there will be limited hours available but they may have an opportunity for some project work.

Accountabilities

Conducts data collection and abstraction of medical records for quality audits and other projects

Coordinates chart review with medical groups/clinics

Utilizes claims system to research member encounters to supplement work process

Accurately enters abstracted data into data entry tool

Supports the HEDIS audit as assigned

Supports for data collection for risk adjustment audits throughout the year

Performs other duties as assigned

Required Qualifications

Bachelor’s degree in related field or four years related work experience in lieu of degree

Four years’ experience with EMR (Electronic Medical Record) systems or at least four years experience in the health care industry preferably in data abstraction, medical chart review, utilization review, prior authorization, case management, or clinical data/reporting in an EMR

Knowledge of medical terminology, clinical data and medical records

Effective organizational skills and ability to work independently to coordinate, prioritize and complete work assignments

Effective written and verbal communication skills

Exercise initiative, flexibility and willingness to work with a team for a common goal

Good computer skills including Microsoft office products and ability to learn new software used for data entry

Preferred Qualifications

RN or LPN

Bachelor’s degree in related field

HMO or Managed care experience

Decision-making

Use body of knowledge, health care experience and training materials to independently work with clinics to complete chart review projects.

About Us

At HealthPartners we believe in the power of good – good deeds and good people working together. As part of our team, you’ll find an inclusive environment that encourages new ways of thinking, celebrates differences, and recognizes hard work.

We’re a nonprofit, integrated health care organization, providing health insurance in six states and high-quality care at more than 90 locations, including hospitals and clinics in Minnesota and Wisconsin. We bring together research and education through HealthPartners Institute, training medical professionals across the region and conducting innovative research that improve lives around the world.

At HealthPartners, everyone is welcome, included and valued. We’re working together to increase diversity and inclusion in our workplace, advance health equity in care and coverage, and partner with the community as advocates for change.

Join us and become a partner for good, helping to improve the health and well-being of our patients, members and the communities we serve.

We are an Equal Opportunity Employer and do not discriminate against any employee or applicant because of race, color, sex, age, national origin, religion, sexual orientation, gender identify, status as a veteran and basis of disability or any other federal, state or local protected class.