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[Telecommuting/Work-At-Home]

Remote – HEDIS Abstractors Full Time NEW


HEDIS Reviewers / Abstractors

Job Types: Full-time Seasonal, Part-time seasonal, Contract

  • 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 per hour, with additional bonus incentives available.

  • Live Season Pay Rate:
  • $27/hour + monthly performance bonuses for candidates with 2+ years/seasons of HEDIS experience.
  • $25/hour + monthly performance bonuses for candidates with 1 year/season or less of HEDIS experience.

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 and will last approx. six weeks for training of 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.


Tagged as: SAP

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