Sr. Abstractor, HEDIS/Quality Improvement (Remote)
About the position Responsibilities • Conduct data collection and abstraction of medical records for HEDIS projects and supplemental data collection. • Coordinate and prepare for the HEDIS medical record review, including ongoing reviews of records submitted by providers. • Collect medical records and reports from provider offices as needed, and load data into the HEDIS application. • Compare documentation in medical records to specifications to verify the performance of preventive and diagnostic services. • Participate in meetings with vendors and teams regarding the medical record collection process and HEDIS review results. • Assist with projects and process improvement initiatives. • Mentor entry-level abstractors. Requirements • Bachelor's degree or equivalent experience. • 3 years experience in healthcare Quality/HEDIS specific to medical record review and abstraction. • Intermediate knowledge and understanding of HEDIS projects. Nice-to-haves • At least 3 years of medical record abstraction experience. • 3+ years managed care experience. • Advanced knowledge of HEDIS and NCQA. • Active RN license for the State(s) of employment. Benefits • Competitive benefits and compensation package. Apply tot his job