HEDIS Reviewer

Job Summary

A company is looking for a HEDIS Reviewer.

Key Responsibilities:

• Abstract clinical data from assigned medical records daily
• Schedule appointments, follow up on documentation, and provide patient rosters
• Perform documentation review, abstraction, and entry into the required software tools

Required Qualifications:

• Minimum 2-3 HEDIS seasons of medical record auditing/abstraction/reviewing
• Knowledge of medical terminology and ability to interpret clinical documentation
• Proficient in Microsoft Word, Excel, email, and Adobe Reader
• High School Diploma or equivalent required; Associate's Degree preferred
• 4+ years of direct HEDIS abstraction and audit experience preferred for higher levels