HEDIS Coordinator - 210403

A-Line Staffing Solutions LLC; Newark (DE); Hybrid; USD 52,000 - 68,000; Full time

Benefits offered by this job

Benefits after 90 days of employment

401(k) with company match after 1 year

Job summary

A-Line Staffing Solutions LLC is seeking a HEDIS Coordinator based in Newark, DE with a remote-first model and field work at provider offices 2-3 days per week. The role supports HEDIS reporting and quality improvement by coordinating medical records, ensuring secure transmission, and verifying documentation accuracy.

Responsibilities include reviewing records for measure criteria, indexing, and identifying gaps, while maintaining HIPAA confidentiality.

Qualifications

• Bachelor's degree or equivalent experience.
• Valid driver's license is required.
• Strong organizational and communication skills are essential.

Responsibilities

• Travel to provider offices to retrieve medical records for HEDIS reporting and quality improvement initiatives.
• Request, collect, organize, and securely transmit medical records from network providers.
• Review medical records to confirm they meet HEDIS measure criteria and documentation requirements.
• Verify that records are complete, legible, accurate, and received within required timeframes.
• Index and name medical records according to established standards.
• Identify documentation needed to support HEDIS measure compliance and close quality gaps.
• Escalate and resolve provider barriers affecting timely medical record retrieval.

Skills

Attention to detail

Communication

Time management

Education

Bachelor's degree or equivalent experience

Tools

EMRs

Provider portals

Fax systems

Scanning tools

Document management systems

Job description

Job Title: HEDIS Coordinator Address: Newark, DE

Job Description

• Travel to provider offices to retrieve medical records for HEDIS reporting and quality improvement initiatives.
• Request, collect, organize, and securely transmit medical records from network providers.
• Review medical records to confirm they meet HEDIS measure criteria and documentation requirements.
• Verify that records are complete, legible, accurate, and received within required timeframes.
• Index and name medical records according to established standards.
• Identify documentation needed to support HEDIS measure compliance and close quality gaps.
• Escalate and resolve provider barriers affecting timely medical record retrieval.

Critical Information

Remote position with field work at provider offices 2-3 days per week.

Monday-Friday, 8:00 AM-5:00 PM EST.

Travel to provider offices is required; candidates must have a personal vehicle.

Follow HIPAA requirements and protect confidential patient information.

Work with EMRs, provider portals, fax systems, scanning tools, and document management systems.

Collaborative environment focused on HEDIS medical record retrieval and healthcare quality improvement.

Interview conducted through Microsoft Teams with camera required.

Education/Licenses Needed

Bachelor's degree in a related field or equivalent experience.

Valid driver's license required.

Benefits

Benefits are available to full-time employees after 90 days of employment.

A 401(k) with company match is available after 1 year of service.

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