Healthcare Data Abstractor – Seasonal Quality Review
Healthcare Data Abstractor – Seasonal Quality Review Job Title: Healthcare Consultant II (Fully Remote) Location: Remote Duration: (01/05/2026 to 05/01/2026) Pay Range for role: $25.00 - $28.00 per hr. on W2 Schedule: Monday thru Friday, 8 hours worked, between the hours of 8am and 5pm local time Position Summary:
- This position audits and interprets relevant clinical criteria through review of medical records, annotates via Adobe PDF and audits data populated within a data collection tool to support compliance with HEDIS and CMS performance measures.
- Ensures accurate and complete documentation of required information to meet risk management, regulatory, and accreditation requirements.
- The candidate must be proficient with databases and with conducting 100% of work activities on the computer.
- Auditing of information entered into the software system for abstraction and data entry based on HEDIS MY 2020 Technical Specifications.
- Prioritize and accurately complete tasks within established times
- Identifying trends and documentation of areas for improvement
- Maintaining project productivity levels while maintaining accuracy requirements for abstraction and data entry activities
Experience:
- 5 or more seasons of HEDIS experience in reviewing medical records is required
- Prior experience in performing chart audits is preferred.
- Candidate must commit to attend all required training and conference calls assigned for the project.
- Candidate must return all equipment that is supplied to them in good working condition and in a timely manner at the end of the project
- Medical knowledge/terminology is required.
- Ability to read and interpret medical records.
- Professional demeanor and good work ethic.
- Computer savvy: Microsoft Word, Excel, email, and Adobe reader required. Know how to save a file to a folder.
- Excellent verbal and written communication skills – clear, concise and appropriate.
- Conscientious problem solver, willing to learn, and take personal pride in their work performance/accuracy.
- Exceptional attention to detail and excellent analytical, investigation, and problem-solving skills
- Proven organizational and time management skills including the ability to meet required deadlines
- Must keep all information collected in a safe, organized and confidential manner while maintaining confidentiality of PHI, HIPAA Privacy and Security Rules
- Participates in the audit/overread of the medical record collection and review process for HEDIS quality reporting. Training will be provided prior to the start of the assignment.
Education:
- RN/LVN with an associate or bachelor degree is preferred but not required.
- Successful HEDIS review experience may be substituted for licensure.
Seniority level: Mid-Senior level Employment type: Contract Job function: Design, Art/Creative, and Information Technology Industries: IT Services and IT Consulting #J-18808-Ljbffr Experience: 3 years required