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.