Hedis Registered Nurse

Greenkey Resources LLC; New York (NY); Hybrid; USD 70,000 - 100,000; Part time

Job summary

Green Key Resources LLC is seeking a HEDIS Registered Nurse to perform medical record reviews, data abstraction, and validation for HEDIS measures across multiple EMR systems including ECW. The role supports regulatory submissions and quality initiatives within a hybrid in-office schedule.

The candidate should have a BSN (ASN considered) and at least 1 year of HEDIS review experience, with strong data analysis skills and a commitment to confidentiality in a high-volume environment.

Qualifications

• BSN required; ASN considered.
• Minimum 1 year of experience in HEDIS medical record review.
• Proficiency with multiple EMR systems, including ECW.
• Strong knowledge of HEDIS measures such as BCS-E, COL-E, and EED.
• Ability to work independently in a fast-paced, high-volume environment.
• Excellent analytical and organizational skills for handling clinical data.
• Commitment to confidentiality and discretion with sensitive information.
• Preferred: 2 years of HEDIS-related experience.

Responsibilities

• Perform medical record reviews to validate supplemental clinical data for HEDIS measures.
• Abstract clinical data from EMRs and other sources.
• Ensure compliance with regulatory standards for HEDIS reporting and submissions.
• Analyze and interpret clinical data to identify trends and areas for improvement.
• Collaborate with cross-functional teams to improve data collection processes.
• Maintain confidentiality and discretion when handling patient information.
• Provide expertise on HEDIS measures such as BCS-E, COL-E, and EED.
• Assist in developing and implementing quality improvement initiatives.

Skills

Data analysis

Attention to detail

Regulatory knowledge

Independent worker

Education

BSN

ASN considered

Tools

ECW EMR

Job description

HEDIS Registered Nurse Overview

• The HEDIS Registered Nurse (RN) will perform medical record reviews, data abstraction, and validation for Healthcare Effectiveness Data and Information Set (HEDIS) measures.
• Support accurate and timely collection of clinical data for regulatory submissions and quality improvement initiatives.
• Collaborate with internal teams to ensure compliance with HEDIS reporting standards and data quality requirements.
• Utilize multiple electronic medical record (EMR) systems to retrieve and analyze clinical data.
• Work in a hybrid environment, with in-office requirements on specific days.
• Engage in fast-paced, high-volume tasks while maintaining confidentiality and discretion.
• Contribute to the improvement of clinical data processes and HEDIS measure accuracy.
• Participate in training and development sessions to enhance HEDIS-related skills.

HEDIS Registered Nurse Key Responsibilities & Duties

• Perform medical record reviews to validate supplemental clinical data for HEDIS measures.
• Abstract clinical data from electronic medical records and other sources.
• Ensure compliance with regulatory standards for HEDIS reporting and submissions.
• Analyze and interpret clinical data to identify trends and areas for improvement.
• Collaborate with cross-functional teams to enhance data collection processes.
• Maintain confidentiality and discretion when handling sensitive patient information.
• Provide expertise on HEDIS measures such as BCS-E, COL-E, and EED.
• Assist in the development and implementation of quality improvement initiatives.

HEDIS Registered Nurse Job Requirements

• Bachelor of Science in Nursing (BSN) required; Associate degree in Nursing (ASN) considered.
• Minimum of 1 year of experience in HEDIS medical record review.
• Proficiency in using multiple EMR systems, including E Clinical Works (ECW).
• Strong knowledge of HEDIS measures such as BCS-E, COL-E, and EED.
• Ability to work independently in a fast-paced, high-volume environment.
• Excellent analytical and organizational skills for handling clinical data.
• Commitment to maintaining confidentiality and discretion with sensitive information.
• Preferred: 2 years of experience in HEDIS-related roles.