Remote HEDIS Overreader / Abstractor

HEDIS Abstractor/Overreader HealthCare Support is actively seeking a Clinical Quality Analyst to fill an opening with a leading healthcare organization in a telecommute position. Daily Responsibilities for the HEDIS Abstractor/Overreader: • Perform provider and practitioner medical record reviews to verify clinical data elements for HEDIS and HEDIS-like measures abstracted by vendor. • Conduct abstraction and overread of internal and/or vendor abstracted medical records to mitigate risk during Medical Record Review Validation (MRRV). • Maintain HIPAA standards and confidentiality of protected health information at all times. • Communicate questions or concerns to the assigned Pod Manager or Specialist in a timely manner. • Attend team meetings to provide feedback and ensure compliance with quality standards. • Successfully complete HEDIS technical specification and software training with a passing score of 90% or higher. • Commit to the full January-May assignment with minimal absences. • Shift/Remote: Full-time, Monday-Friday, 8:00am-5:00pm in your time zone. • Training: 2 weeks, 8:00am-5:00pm EST. Required Qualifications for the HEDIS Abstractor/Overreader • High school diploma or GED required; Associate or Bachelor's degree preferred. • 2-3+ years of HEDIS, medical record review, or MRRV experience (abstraction and/or overread strongly preferred). • Demonstrated proficiency with measures such as BPD, CBP, COA, GSD, DVSCH, LSC, PPC, PDS, PSS, TRC, and WCC (must be listed on resume). • Proficiency in Microsoft Office Suite (Word, Excel, Adobe, PowerPoint); ability to use Excel for filtering and sorting data. • Exceptional attention to detail, strong proofreading, time management, and communication skills. • Must be self-directed, technically savvy, and able to work independently in a remote environment. Preferred Qualifications for the HEDIS Abstractor/Overreader • RN, LPN, or LVN licensure (preferred, not required). • Abstraction and overread experience, managed care background. • Adaptability, critical thinking, and coachability in a fast-paced environment. Benefits for the Clinical Quality Analyst: • Immediate enrollment in Health Insurance • Dental Insurance • Life Insurance • Employee Assistance Program (EAP) • Access to Investment Accounts • Career and educational tools within the Ingenovis ACT (Advocacy) Programs Pay Details: $40.00 to $42.00 per hour Interested in being considered? If you are interested in applying to this position, please click Apply Now for immediate consideration. For additional consideration, please email a copy of your resume to [email protected] with your phone number, the job title, and location, and one of our recruiters will reach out. HealthCare Support Staffing, Inc. is an equal employment opportunity employer and will consider all qualified applicants without regard to race, color, religion, disability, sex, sexual orientation, gender identity, national origin, protected veteran status, or any other characteristic protected by applicable local, state, or federal law. Apply tot his job Apply tot his job