HEDIS Administrative Clerk & Data Entry

W3R Consulting; New Mexico; On-site; USD 50,000 - 70,000; Full time

Job summary

W3R Consulting in New Mexico is seeking a seasoned HEDIS data reviewer to join the medical record review team. Staff work under the HEDIS Coordinator to ensure accurate, comprehensive reviews aligned with NCQA guidelines and project specifications.

The role emphasizes precise data entry, strong communication with providers and staff, and strict HIPAA compliance. A high school diploma is required; a Medical Assistant background is preferred and a minimum of 7+ years in a related field is expected.

Qualifications

• 7+ years experience in relevant role.
• High School Diploma or GED; Medical Assistant preferred.
• Strong data entry and typing skills; ability to handle medical terminology.

Responsibilities

• Obtain medical record data from mail and distribute for scanning.
• Scan and label documents; route to appropriate measure file.
• Use various software to support HEDIS operations by entering data and updating statuses.
• Maintain HIPAA compliance and patient confidentiality; perform other duties as assigned.

Skills

Data entry

Customer service

Medical terminology

Communication

Word processing

Education

High School Diploma or GED

Tools

Word

Excel

Lotus Notes

Job description

W3R Consulting in New Mexico is seeking a seasoned HEDIS data reviewer to join the medical record review team. Staff work under the HEDIS Coordinator to ensure accurate, comprehensive reviews aligned with NCQA guidelines and project specifications.

The role emphasizes precise data entry, strong communication with providers and staff, and strict HIPAA compliance. A high school diploma is required; a Medical Assistant background is preferred and a minimum of 7+ years in a related field is expected.