HEDIS Data Reviewer Job at Elevait Solutions, North Carolina

WGFRYzJKN3g1bDdoWlQ5T1dtSUx3NGlQ
  • Elevait Solutions
  • North Carolina

Job Description

AI Job Summary: HEDIS Data Reviewer

Location: Philadelphia, PA (Hybrid: 3 days onsite, Stevens Drive)
Duration: 3+ Months | Contract | $45.23/hr | Schedule: M-F, 8am 5:30pm EST, occasional weekends

Role Impact & Expectations:
As a HEDIS Data Reviewer, you will drive the quality and compliance of healthcare reporting by accurately abstracting and reviewing medical records for HEDIS and State EQRO programs. Your work directly supports performance measurement and continuous improvement in patient care outcomes.

Skills Emphasis:
Demonstrated expertise in HEDIS data abstraction, medical record review, and medical terminology is critical. Proficiency with medical record abstraction tools and Microsoft Office is essential for success in this role.

Key Responsibilities:

- Conduct precise medical record abstraction and overread for HEDIS and State EQRO quality reporting.
- Manage identification, collection, and review of medical records using structured abstraction criteria.
- Enter audit results accurately into designated databases or software.
- Maintain at least a 98% abstraction proficiency rate and meet productivity targets.
- Provide detailed feedback on non-compliant records and support providers as needed.
- Assist with record collection via phone, fax, and written requests.
- Complete assigned special projects and comply with established standards.

Recruiter Insights:
- Attractive hybrid schedule (3 days onsite, rest remote)
- Competitive hourly rate and clear performance expectations
- Opportunity to work with a leading quality-focused healthcare team
- Preferred skills (pediatric, maternity, diabetic care experience; familiarity with Cancer Registry, Bright Futures, and compliance projects) provide an edge for top candidates

Candidate Insights:
- Contribute to impactful quality and compliance initiatives in healthcare
- Leverage and further develop HEDIS expertise in a high-performance environment
- Enjoy a balanced hybrid work model with competitive compensation
- Opportunities for exposure to various clinical settings and special projects

Job Tags

Hourly pay, Contract work, Work at office,

Similar Jobs

Stratford Solutions Inc.

AZURE DATA ENGINEER Job at Stratford Solutions Inc.

 ...Job Title : AZURE DATA ENGINEER Location : New York, NY Job Type : Contract Work schedule: Monday- Friday 8 AM to 5 PM Duration: 10 Months DESCRIPTION OF WORK (SCOPE OF WORK) ERAD currently hosts Cognos and Microsoft Power Platform technologies to... 

Project Solutions Inc.

Certified Wastewater Treatment Operator Job at Project Solutions Inc.

 ...with occasional on-call duties Are you a hands-on Wastewater Treatment Plant Operator with a knack for keeping things running smoothly...  ...environment. Must pass a pre-employment background check Water and Wastewater Certification Preferred. Excellent... 

Calvary Hospital

Hospice Quality RN Job at Calvary Hospital

 ...Requirements Valid nursing license (RN) in good standing with state licensing board...  ...delivery. Ability to work independently in home settings while maintaining high standards...  ...discount ~ Flexible schedule ~ Health insurance ~ Health savings account ~ Life... 

Treasures Academy LLC

Remote Chat Support Associate Job at Treasures Academy LLC

Description Job Summary Remote Chat Support Associate (Entry Level) will be responsible for providing exceptional customer service through live chat support. This position is entirely remote and offers a unique opportunity to engage with customers, resolving their ...

Houston Methodist

Laundry Attendant Job at Houston Methodist

At Houston Methodist, the Laundry Attendant position is responsible for transporting clean linen to designated patient areas and ancillary departments using an identified Linen Exchange/Stocking Program, as appropriate. The Laundry Attendant position may also be responsible...