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HEDIS Review Nurse

Advantmed • Part-time • Remote (GA, US) • $20 - $25 / hour • 3w ago

Description

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.
During the live season, the pay rate increases to $25 per hour, accompanied by monthly performance-based bonus incentives.

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.

Job Types: Part-time, Contract, Temporary

Pay: $20.00 - $25.00 per hour

Expected hours: 20 – 40 per week

Benefits: