Experienced HEDIS Reviewer II - Remote Healthcare Quality Assurance Specialist for HEDIS and CMS Performance Measures
Join Our Team as a Remote HEDIS Reviewer II and Make a Difference in Healthcare Quality
A-Line Staffing Solutions is excited to announce an exceptional opportunity for a highly skilled and detail-oriented HEDIS Reviewer II to join our team on a fully remote basis. As a core member of our healthcare quality assurance team, you will play a vital role in ensuring compliance with HEDIS and CMS performance measures by reviewing medical records, annotating clinical information, and supporting risk management, regulatory, and accreditation requirements.
About Our Company and Culture
At A-Line Staffing Solutions, we pride ourselves on being a leading provider of top talent to the healthcare industry. Our mission is to deliver exceptional staffing solutions that meet the evolving needs of our clients while fostering a culture of excellence, integrity, and compassion. We value our team members and offer a supportive work environment that encourages growth, learning, and work-life balance. As a remote team member, you will be part of a dynamic and collaborative team that is dedicated to making a positive impact in the healthcare industry.
Job Summary
We are seeking an experienced HEDIS Reviewer II to join our team on a remote basis. As a HEDIS Reviewer II, you will be responsible for interpreting relevant clinical criteria, reviewing medical records, annotating clinical information via Adobe PDF, and populating a data collection tool to support compliance with HEDIS and CMS performance measures. This is a unique opportunity to work on a critical project that requires attention to detail, strong analytical skills, and excellent communication skills.
Key Responsibilities
Interpret relevant clinical criteria through review of medical records to ensure compliance with HEDIS and CMS performance measures
Annotate clinical information via Adobe PDF and populate a data collection tool to support quality reporting
Ensure accurate and complete documentation of required information to meet risk management, regulatory, and accreditation requirements
Participate in the collection and review of medical records to abstract clinical information for HEDIS quality reporting
Collaborate with team members to ensure consistency and accuracy in review processes
Adhere to project timelines and deadlines to ensure successful project completion
Requirements and Qualifications
Essential Qualifications:
High School Diploma or GED required
1-3 seasons of experience auditing and abstracting medical records required
Proficient with databases and conducting 100% of work activities on the computer
Must commit to the duration of the project with the understanding that work hours can be varied
Preferred Qualifications:
Bachelor's degree in a related field (e.g., healthcare, health information management)
Experience working with HEDIS and CMS performance measures
Familiarity with quality reporting and risk management principles
Excellent analytical, critical thinking, and problem-solving skills
Strong communication and interpersonal skills
Skills and Competencies
To be successful in this role, you will need to possess the following skills and competencies:
Attention to detail and ability to accurately annotate clinical information
Strong analytical and critical thinking skills to interpret clinical criteria and ensure compliance with HEDIS and CMS performance measures
Excellent communication and interpersonal skills to collaborate with team members and stakeholders
Ability to work independently and as part of a remote team
Proficiency with Adobe PDF and data collection tools
Strong organizational and time management skills to meet project deadlines
Career Growth Opportunities and Learning Benefits
At A-Line Staffing Solutions, we are committed to the growth and development of our team members. As a HEDIS Reviewer II, you will have opportunities to:
Develop your skills and expertise in healthcare quality assurance and risk management
Work on a critical project that impacts the quality of healthcare services
Collaborate with experienced professionals in the healthcare industry
Enhance your knowledge of HEDIS and CMS performance measures
Build your professional network and connections in the healthcare industry
Work Environment and Company Culture
As a remote team member, you will have the flexibility to work from home and enjoy a better work-life balance. Our company culture is built on the following values:
Excellence: We strive for excellence in everything we do
Integrity: We conduct ourselves with integrity and ethics
Compassion: We care about our team members and the communities we serve
Collaboration: We work together as a team to achieve our goals
Compensation, Perks, and Benefits
We offer a competitive compensation package that includes:
Competitive hourly rate of $30.63 per hour
Opportunities for professional growth and development
Flexible work arrangements, including remote work options
Comprehensive benefits package (details will be provided upon request)
Conclusion
If you are a detail-oriented and analytical individual with a passion for healthcare quality assurance, we encourage you to apply for this exciting opportunity as a HEDIS Reviewer II. As a remote team member, you will have the flexibility to work from home and enjoy a better work-life balance while making a positive impact in the healthcare industry. Please submit your application to Andrew at [email protected] for immediate consideration.
Apply Now
A-Line Staffing Solutions is excited to announce an exceptional opportunity for a highly skilled and detail-oriented HEDIS Reviewer II to join our team on a fully remote basis. As a core member of our healthcare quality assurance team, you will play a vital role in ensuring compliance with HEDIS and CMS performance measures by reviewing medical records, annotating clinical information, and supporting risk management, regulatory, and accreditation requirements.
About Our Company and Culture
At A-Line Staffing Solutions, we pride ourselves on being a leading provider of top talent to the healthcare industry. Our mission is to deliver exceptional staffing solutions that meet the evolving needs of our clients while fostering a culture of excellence, integrity, and compassion. We value our team members and offer a supportive work environment that encourages growth, learning, and work-life balance. As a remote team member, you will be part of a dynamic and collaborative team that is dedicated to making a positive impact in the healthcare industry.
Job Summary
We are seeking an experienced HEDIS Reviewer II to join our team on a remote basis. As a HEDIS Reviewer II, you will be responsible for interpreting relevant clinical criteria, reviewing medical records, annotating clinical information via Adobe PDF, and populating a data collection tool to support compliance with HEDIS and CMS performance measures. This is a unique opportunity to work on a critical project that requires attention to detail, strong analytical skills, and excellent communication skills.
Key Responsibilities
Interpret relevant clinical criteria through review of medical records to ensure compliance with HEDIS and CMS performance measures
Annotate clinical information via Adobe PDF and populate a data collection tool to support quality reporting
Ensure accurate and complete documentation of required information to meet risk management, regulatory, and accreditation requirements
Participate in the collection and review of medical records to abstract clinical information for HEDIS quality reporting
Collaborate with team members to ensure consistency and accuracy in review processes
Adhere to project timelines and deadlines to ensure successful project completion
Requirements and Qualifications
Essential Qualifications:
High School Diploma or GED required
1-3 seasons of experience auditing and abstracting medical records required
Proficient with databases and conducting 100% of work activities on the computer
Must commit to the duration of the project with the understanding that work hours can be varied
Preferred Qualifications:
Bachelor's degree in a related field (e.g., healthcare, health information management)
Experience working with HEDIS and CMS performance measures
Familiarity with quality reporting and risk management principles
Excellent analytical, critical thinking, and problem-solving skills
Strong communication and interpersonal skills
Skills and Competencies
To be successful in this role, you will need to possess the following skills and competencies:
Attention to detail and ability to accurately annotate clinical information
Strong analytical and critical thinking skills to interpret clinical criteria and ensure compliance with HEDIS and CMS performance measures
Excellent communication and interpersonal skills to collaborate with team members and stakeholders
Ability to work independently and as part of a remote team
Proficiency with Adobe PDF and data collection tools
Strong organizational and time management skills to meet project deadlines
Career Growth Opportunities and Learning Benefits
At A-Line Staffing Solutions, we are committed to the growth and development of our team members. As a HEDIS Reviewer II, you will have opportunities to:
Develop your skills and expertise in healthcare quality assurance and risk management
Work on a critical project that impacts the quality of healthcare services
Collaborate with experienced professionals in the healthcare industry
Enhance your knowledge of HEDIS and CMS performance measures
Build your professional network and connections in the healthcare industry
Work Environment and Company Culture
As a remote team member, you will have the flexibility to work from home and enjoy a better work-life balance. Our company culture is built on the following values:
Excellence: We strive for excellence in everything we do
Integrity: We conduct ourselves with integrity and ethics
Compassion: We care about our team members and the communities we serve
Collaboration: We work together as a team to achieve our goals
Compensation, Perks, and Benefits
We offer a competitive compensation package that includes:
Competitive hourly rate of $30.63 per hour
Opportunities for professional growth and development
Flexible work arrangements, including remote work options
Comprehensive benefits package (details will be provided upon request)
Conclusion
If you are a detail-oriented and analytical individual with a passion for healthcare quality assurance, we encourage you to apply for this exciting opportunity as a HEDIS Reviewer II. As a remote team member, you will have the flexibility to work from home and enjoy a better work-life balance while making a positive impact in the healthcare industry. Please submit your application to Andrew at [email protected] for immediate consideration.
Apply Now