HEDIS Review Nurse / HEDIS Abstractor

Advantmed

413d • $41,600 - $56,160 • Remote

About The Position

The HEDIS Review Nurse / HEDIS Abstractor is responsible for conducting data collection and abstraction of medical records for HEDIS projects under the supervision of the Medical Record Review team. This remote position requires candidates to meet productivity standards while ensuring compliance with HIPAA regulations. The role offers flexible scheduling and is part-time, temporary, and contract-based.

Requirements

• Minimum of 1 year or 1 season of prior work experience in HEDIS abstraction/review.
• Medical Coder Certification: CPC, CCS, RHIT, RHIA through AAPC or AHIMA OR Licensed Nurse: LPN, LVN, RN with an active license.
• Possess a Windows-based laptop or desktop computer and have access to a high-speed internet connection.

Nice To Haves

• Expertise in all sub-measures of HEDIS measures: TRC, PPC, WCC measures.

Responsibilities

• Review medical records and transfer critical HEDIS data elements into a specified data entry portal.
• Conduct 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.

Benefits

• Flexible schedule
• Work from home

What This Job Offers

• Job Type: Part-time
• Career Level: Entry Level
• Industry: Administrative and Support Services
• Education Level: Associate degree