HEDIS SEASON is coming. HEDIS (Health Effectiveness Data Information Set) is a set of standardized performance measures designed to ensure:
HEDIS is used by 90% of Medicare, Medicaid, and even private insurance companies to establish Star Rating with the Center for Medicare and Medicaid Services. There are 95 HEDIS measures to be reviewed for HEDIS 2018.
Hiring is going on now. Training is usually right before the reviewing starts. Companies are competing now for a limited number of experienced HEDIS applicants.
HEDIS data is generally collected by two methods – onsite or remote.
(1) An onsite reviewer travels to a provider office to reviews charts. Information is either printed or digitally downloaded. On-site reviewers search medical records for specific information then either print or download it.
(2) A remote reviewer uses a secure internet portal to access uploaded records. Remote reviewers search for specific information, annotate it then record the information.
In a ten-minute online search this morning using HEDIS job postings in the past 30 days:
As you can see, the market is stable for HEDIS reviewers. A CEO at a recruiting agency stated, “The demand is quickly out-numbering the qualified applicants.”
So how do clinicians get a foot in the door? Good question… I will have to research that.
Thank you for reading. Watch for my next article on breaking into medical record reviewing.
About The Author
Jane Jackson has more than 25 years experience in healthcare, including hospital-based care, home health, and managed care. She enjoys sharing her knowledge and can she be reached at Jane.Jackson@DailyDoseHQ.com. Also visit her blog, Daily Dose HQ.