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 Apply To this Job