100% Remote - candidates must have reliable internet connection
Description:
This is a temporary contract opportunity with The Cigna Group through Magnit, an enterprise third-party vendor for contingent work.
Role: Quality Review and Audit Senior Analyst
Duties:
- The Clinical Medical Record Abstraction/Over-read nurse works under the direction of the HEDIS Clinical Lead and other CIGNA personnel.
- These home-based positions are responsible for working independently to review, abstract pertinent medical record information, and/or validate accuracy of abstraction in accordance with multiple study criteria.
- The information to be abstracted will be obtained from medical records copied from physician offices/healthcare facilities and linked in the HEDIS data base used by the nurses for abstraction and over-read.
- The Abstraction/Over-read nurse must be able to attain an inter-rater reliability score of 95% or higher for the duration of the project.
- All medical records that are copied or received in the CIGNA HealthCare offices must be kept confidential, in accordance with federal and local requirements, and maintained at the CIGNA HealthCare office.;
- Other duties as assigned to improve HEDIS rates, including gleaming records for additional information and assisting with sample validation.
Skills & Experience:
- Data entry experience
- Detail oriented
- Minimum 2yrs HEDIS MRR experience
- Knowledgeable of HEDIS Specifications
- Cotiviti experience a plus
- Current LVN/LPN or RN Nurses may reside and be licensed in any state.
- Bachelor's degree or equivalent work experience
The pay range that Magnit reasonably expects to pay for this position is: $29.68-$39.57/hr
Benefits: Medical, Dental, Vision, 401K (provided minimum eligibility hours are met)
