Temporary HEDIS Abstractor Nurse
About The Position
MVP Health Care is seeking experienced temporary HEDIS Abstractor Nurses to support seasonal Clinical Quality and HEDIS medical record review activities. The role includes medical record abstraction, provider outreach, quality review activities, and use of HEDIS-related tools. The position supports GSD (Glycemic Status Assessment for Patients with Diabetes), BPD (Blood Pressure Control for Patients with Diabetes), CBP (Controlling High Blood Pressure), COA (Care for Older Adults), PPC (Prenatal and Postpartum Care), WCC (Weight Assessment and Counseling for Nutrition and Physical Activity for Children/Adolescents), and TRC (Transitions of Care). This temporary, seasonal role supports annual HEDIS abstraction activities and is remote.
Requirements
- Current New York unrestricted RN or LPN/LVN license.
- Minimum 1–2 years of clinical, quality, or healthcare experience.
- Prior experience with HEDIS abstraction, chart review, or medical record review.
- Working knowledge of NCQA HEDIS guidelines/specifications.
- Experience using EMR/EHR systems and abstraction/documentation tools.
- Strong knowledge of medical terminology, clinical documentation, and abstraction workflows.
- Proficiency in at least four of the following measures: GSD, BPD, CBP, COA, PPC, WCC, and TRC.
- Proficiency in MS Office Suite, including Excel, Word, Outlook, and Teams.
- References from a manager at the place of the last HEDIS position worked.
Nice To Haves
- Prior seasonal HEDIS experience in a health plan, managed care, vendor, or quality environment.
- Experience with abstraction tools/platforms such as Inovalon, Quality Reporter, or similar systems.
Responsibilities
- Perform medical record abstraction and chart review for assigned HEDIS measures, including GSD, BPD, CBP, COA, PPC, WCC, and TRC.
- Review electronic and paper medical records to identify required clinical documentation, labs, vitals, visits, and measure-specific compliance elements.
- Accurately enter abstraction results into MVP-designated HEDIS systems, databases, and/or vendor tools.
- Apply NCQA HEDIS technical specifications and internal abstraction guidance to determine compliant documentation.
- Maintain required productivity, accuracy, and post-training performance thresholds.
- Support provider outreach and medical record retrieval as needed.
- Participate in quality assurance review, overreads, and audit support activities, as assigned.
- Maintain confidentiality of provider, practitioner, and member information and comply with privacy requirements.
Benefits
- Competitive compensation and comprehensive benefits focused on well-being.
- Growth opportunities to uplevel your career.
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What This Job Offers
Career Level
Mid Level
Education Level
No Education Listed
