Sr. Abstractor, HEDIS/Quality Improvement (Remote in Pacific Time)

About the position

Responsibilities
• Coordinate and prepare for the HEDIS medical record review, including ongoing review of records submitted by providers.
• Participate in meetings with vendors regarding the medical record collection process.
• Collect medical records and reports from provider offices as needed, load data into the HEDIS application, and verify documentation against specifications.
• Engage in scheduled meetings with the National Over read team, National Training Team, Regional HEDIS team, vendors, and HEDIS auditors to discuss quality and review results.
• Assist with projects and process improvement initiatives.
• Mentor entry-level Abstractors.

Requirements
• Bachelor’s degree or equivalent experience.
• 3 years experience in healthcare Quality/HEDIS specific to medical record review and abstraction.
• Intermediate knowledge and understanding of HEDIS projects.

Nice-to-haves
• At least 3 years of medical record abstraction experience.
• 3+ years managed care experience.
• Advanced knowledge of HEDIS and NCQA.
• Active RN license for the State(s) of employment.

Benefits
• Competitive benefits and compensation package.