About The Position

This is a remote, seasonal/part-time position for HEDIS Abstractors/Reviewers, available to candidates located within the United States who are eligible to work in the U.S. The role involves conducting data collection and abstraction of medical records for HEDIS projects, HEDIS-like projects, and supplemental data collection, under the supervision of the Medical Record Review team. The abstraction team is expected to meet chart abstraction productivity standards.

Requirements

  • Minimum of 2 years or 2 seasons of prior work experience in HEDIS abstraction/Review in any of these measures: BPD, CBP, GSD/HBD, COA, CIS, IMA, CCS, EED, LSC, COL, TRC, PPC or WCC.
  • Specifically looking for expertise in all sub-measures of these full HEDIS measures: TRC, PPC, WCC measures.
  • Medical Coder Certification: CPC, CCS, RHIT, RHIA through AAPC or AHIMA OR Licensed Nurse: LPN, LVN, RN with an active license.
  • Must possess a Windows-based laptop or desktop computer.
  • Must have access to a high-speed internet connection.

Responsibilities

  • 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.
  • Maintaining accuracy thresholds as set forth by Advantmed.
  • Complying with HIPAA Laws and regulations.
  • Attending self-paced recorded training within a defined timeframe for required measures.
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