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Remote - HEDIS Abstractors / HEDIS Reviewers

πŸ•’ 8 days ago
HEDIS AbstractionMedical Record ReviewHEDIS MeasuresData Entry
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πŸ“œ Description

  • Review medical records and enter critical HEDIS data elements into a specified portal.
  • Use proprietary software for data entry and support HEDIS reporting and quality improvement.
  • Meet established chart-abstraction productivity and accuracy standards.
  • Follow HIPAA laws and regulations.
  • Complete required self-paced or instructor-led training within the designated timeframe.

πŸ› οΈ Requirements

  • At least 2 years or seasons of HEDIS abstraction or review experience, including measures such as BPD, CBP, PPC, TRC, WCC, GSD, or COA.
  • Hold a CPC, CCS, RHIT, or RHIA certification through AAPC or AHIMA, or an active LPN, LVN, or RN license.
  • Provide a Windows 10/11 laptop, preferably Windows Professional Edition, high-speed internet, and video-call capability.
  • Complete required training within the designated timeframe.
  • After training, be available between 6:00 am and 6:00 pm EST for 4–8 hours per day; split shifts are not available.
Full job description

HEDIS Reviewers / Abstractors

Job Types: Seasonal

  • This is a remote position available to candidates located within the United States. Applicants must be eligible to work in the United States.

Candidates must have their own Windows 10/11 laptop (preferably Windows Professional Edition), along with high-speed internet access and video-call capabilities.

Pay Structure:

  • The training pay rate is $20/hour
  • Live Season Pay Rate: $27/hour

Primary Purpose: Under the supervision of the Medical Record Review team, the HEDIS Abstractor conducts data collection and abstraction of medical records for HEDIS projects, HEDIS-like projects, and supplemental data collection. The abstraction team will meet chart abstraction productivity standards.

Job Roles and Responsibilities

  • Responsible for reviewing medical records and transferring critical HEDIS data elements into a specified data entry portal to support HEDIS reporting and quality improvement.
  • Data entry into Advantmed proprietary software.
  • Maintain accuracy thresholds as set forth by Advantmed.
  • Comply with HIPAA Laws and regulations
  • Attend self-paced recorded training within a defined timeframe for required measures.

Requirements

Experience

  • Minimum of 2 years / seasons of prior work experience in HEDIS abstraction / Review in any of these measures: BPD, CBP, PPC, TRC ,WCC, GSD, COA, etc.
  • Medical Coder Certification: CPC, CCS, RHIT, RHIA through AAPC or AHIMA OR
  • Licensed Nurse: LPN, LVN, RN with an active license

Candidates must have their own Windows 10/11 laptop (preferably Windows Professional Edition), along with high-speed internet access and video-call capabilities.

Working Schedule:

  • Candidates must complete the required training within the designated timeframe, which may include recorded, self-paced, and/or live instructor-led sessions covering key measures and program requirements.
  • Post-training, candidates must be available to work between 6:00 am EST and 6:00 pm EST, with a minimum commitment of 4 hours per day and a maximum of 8 hours per day.
  • Chart reviews will follow on a first-come, first-served basis each day, with no option for split shifts.
  • Weekend availability may be available, depending on upper management's decision as the live season progresses.
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