Remote - HEDIS Abstractors / HEDIS Reviewers

HEDIS Reviewers / Abstractors Job Types: Seasonal This is a remote position available to candidates located within the United States. Applicants must be eligible to work in the United States. Candidates must have their own Windows 10/11 laptop (preferably Windows Professional Edition), along with high-speed internet access and video-call capabilities. Pay Structure: The training pay rate is $20/hour Live Season Pay Rate: $27/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 / seasons of prior work experience in HEDIS abstraction / Review in any of these measures: BPD, CBP, PPC, TRC ,WCC, GSD, COA, etc. Medical Coder Certification: CPC, CCS, RHIT, RHIA through AAPC or AHIMA OR Licensed Nurse: LPN, LVN, RN with an active license Candidates must have their own Windows 10/11 laptop (preferably Windows Professional Edition), along with high-speed internet access and video-call capabilities. Working Schedule: Candidates must complete the required training within the designated timeframe, which may include recorded, self-paced, and/or live instructor-led sessions covering key measures and program requirements. 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.