HEDIS Records & Data Specialist

viva; Chicago (IL); On-site; USD 55,000 - 75,000; Full time

Job summary

Viva is seeking a staff member to support the HEDIS Effectiveness Data and Information Set project by performing comprehensive medical record reviews under the HEDIS Coordinator. The role supports data entry, record retrieval, and scanning operations in a HIPAA-compliant environment.

Responsibilities include obtaining and organizing medical records, entering data, and coordinating with the Quality Improvement team to resolve issues.

Qualifications

• 7+ years experience in medical data/records review.
• High School Diploma or GED; Medical Assistant preferred.
• Customer service skills.
• Data entry and/or typing experience.
• Proficient in Word, Excel and Lotus Notes.
• Clear and concise written and verbal communication.
• Knowledge of medical terminology is helpful.

Responsibilities

• Obtain medical record data from PO Box and distribute to scanning for processing.
• Scan all paper documents and identify member to the appropriate measure.
• Enter data or update chase status in various software applications for HEDIS operations.
• Meet with HEDIS Coordinator or QI Specialists to discuss efforts and open issues.
• Notify appropriate staff of incoming medical record data requests; follow up with provider offices as needed.
• Route complex issues to Quality Improvement Specialists/HEDIS Coordinator.
• Maintain HIPAA compliance and patient confidentiality.
• All other duties as assigned.

Skills

Data entry

Customer service

Medical terminology

Communication

PC proficiency

Education

High School Diploma or GED

Tools

Word

Excel

Lotus Notes

Job description

Viva is seeking a staff member to support the HEDIS Effectiveness Data and Information Set project by performing comprehensive medical record reviews under the HEDIS Coordinator. The role supports data entry, record retrieval, and scanning operations in a HIPAA-compliant environment.

Responsibilities include obtaining and organizing medical records, entering data, and coordinating with the Quality Improvement team to resolve issues.