HEDIS Reviewer

Remote Full-time
About the position

The HEDIS Reviewer II position involves the collection and review of medical records to abstract clinical information for HEDIS quality reporting. The role requires interpreting clinical criteria, annotating records, and ensuring compliance with HEDIS and CMS performance measures. Training will be provided prior to the start of the assignment, and the position is fully remote, requiring proficiency in computer-based tasks.

Responsibilities
• Complete assigned abstraction and data entry each day.
,
• Work with provider offices to schedule/confirm appointments and follow up on medical record submissions.
,
• Locate and review all assigned medical charts, perform abstraction, and copy supporting documentation as specified.
,
• Data enter all assigned abstracts into the applicable software system.
,
• Prioritize and accurately complete tasks within established times.
,
• Identify trends and document areas for improvement.
,
• Maintain project productivity levels while ensuring accuracy in abstraction and data entry activities.

Requirements
• 0-3 years of experience auditing and abstracting medical records required.
,
• Medical knowledge/terminology is required.
,
• Ability to read and interpret medical records.
,
• Proficient in Microsoft Word, Excel, email, and Adobe Reader.
,
• Excellent verbal and written communication skills.
,
• Exceptional attention to detail and strong analytical skills.
,
• Proven organizational and time management skills.

Nice-to-haves
• Experience with HEDIS quality reporting is a plus.

Benefits
• Fully remote work environment.
,
• Equal opportunity employer with a commitment to diversity and inclusion.

Apply Now



Apply Now

Apply Now →

Similar Jobs

Experienced Registered Behavior Technician for In-Home ABA Therapy - Atlanta, GA

Remote

Immediate Hiring: Experienced Registered Behavioral Technician (RBT) for Clinic-Based ABA Therapy Services

Remote

Experienced Registered Behavioral Technician (RBT) - ABA Therapy for Children with Autism Spectrum Disorder

Remote

Experienced Registered Nurse - Telehealth: Providing Remote Care Coordination and Patient Support

Remote

Experienced Substitute Teacher for Riverside County Schools - Join Scoot Education's Innovative Team

Remote

Experienced Substitute Teacher for San Bernardino County - Flexible Schedules & Competitive Pay

Remote

Experienced School Year Instructional Coach for High-Dosage Tutoring Programs in Edgewater Park, NJ

Remote

Experienced School Year Tutor for K-8 Students in Math and Literacy - Mickleton, NJ

Remote

Experienced Secondary Social Studies Teacher for Kansas - Flexible Hybrid Remote Arrangement

Remote

USPS Office Helper

Remote

Entry Level Customer Support Chat Agent - Remote Opportunity with careerzynith

Remote

[PART_TIME Remote] Senior Investments Data Analyst

Remote

Marketing Generalist

Remote

Account Executive, Platforms (New Business)

Remote

Experienced Customer Service Representative for Remote Work Opportunity – Delivering Exceptional Support and Service to Diverse Customers

Remote

Clinical Administrative Assistant job at Shady Grove Fertility in US National

Remote

System Security Engineer I

Remote

Hiring part-time weekend Typing Job (WFH)

Remote

Field Marketing Manager

Remote

Enterprise Account Executive

Remote
← Back