HEDIS Reviewers / Abstractors
Job Types: Seasonal / Part-time
- 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/hour
- Live Season Pay Rate: $24/hour
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 for 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.
Skills Required
- Minimum 2 years or 2 seasons of prior HEDIS abstraction/review experience (measures: BPD, CBP, GSD/HBD, COA, CIS, IMA, CCS, EED, LSC, COL, TRC, PPC, WCC)
- Expertise in all sub-measures of TRC, PPC, WCC
- Medical coder certification (CPC, CCS, RHIT, RHIA) OR active licensed nurse (LPN, LVN, RN)
- Ability to enter data into Advantmed proprietary software and meet accuracy thresholds
- Access to a Windows-based laptop or desktop and high-speed internet
- Eligible to work in the United States (must be work-authorized)
- Comply with HIPAA laws and regulations
- Complete self-paced recorded training within designated timeframe
- Availability to work between 6:00 am and 6:00 pm EST, minimum 4 hours/day and maximum 8 hours/day
- Weekend availability as needed during live season
What We Do
Advantmed is a healthcare solutions company that empowers health plans and providers to succeed in value-based care by delivering tailored solutions in risk analytics, quality improvement, medical record retrieval, abstraction, coding, and in-home assessments.
