Job Details

HEDIS Reviewers / Abstractors

Job Types: Full-time Seasonal, Part-time seasonal, Contract

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

Pay Structure:

• The training pay rate is $20 per hour, with additional bonus incentives available.

• Live Season Pay Rate:
• $27/hour + monthly performance bonuses for candidates with 2+ years/seasons of HEDIS experience.
• $25/hour + monthly performance bonuses for candidates with 1 year/season or less of HEDIS experience.

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 and will last approx. six weeks for training of required measures.

Requirements

Experience

• 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
• The applicant must possess a Windows-based laptop or desktop computer and have access to a high-speed internet connection.

Working Schedule:

• Candidates must complete a self-paced, recorded training program within a designated timeframe, covering key measures.
• 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.