*HEDIS Reviewer II

ASK Consulting, Inc.; Woonsocket (RI); Remote; USD 42,000 - 54,000; Full time

Job summary

ASK Consulting, Inc. is seeking an HEDIS Reviewer 2 to support medical record collection and abstraction for quality reporting. Training will be provided before the assignment begins, with remote work expected and occasional onsite work if needed.

The role emphasizes auditing and abstracting medical records with strong attention to detail, knowledge of medical terminology, and strict PHI/HIPAA handling. You will interact with provider offices and ensure timely data entry.

Qualifications

• High School Diploma or GED required.
• 1–3 seasons auditing and abstracting medical records.
• Strong knowledge of medical terminology and PHI/HIPAA rules.

Responsibilities

• Schedule/confirm appointments with providers as needed.
• Locate and review assigned medical charts for abstraction.
• Enter data into the applicable software system with accuracy.
• Prioritize tasks to meet established deadlines.
• Identify trends and opportunities for documentation improvements.
• Handle calls and voicemails from providers.
• Occasionally go onsite to provider offices to collect records.

Skills

Medical records auditing

Medical terminology

Read and interpret medical records

Communication (verbal & written)

Confidentiality & HIPAA

Attention to detail

Time management

Microsoft Word

Excel

Adobe Reader

PHI handling

Education

High School Diploma or GED

Tools

Microsoft Word

Excel

Email

Adobe Reader

Job description

HEDIS Reviewer 2

Position Description

Participates in the collection and review of medical records to abstract clinical information for HEDIS quality reporting. Training will be provided prior to the start of the assignment.

Roles Responsibilities

• Work with provider offices as needed to schedule/confirm appointments, follow up on medical record submission, and provide patient rosters
• Locate and review ALL assigned medical charts, perform abstraction, copy all supporting documentation per specifications and data enter into the applicable software system ALL assigned abstracts.
• Prioritize and accurately complete tasks within established times
• Identifying trends and documentation of areas for improvement
• Maintaining project productivity levels while maintaining accuracy requirements for abstraction and data entry activities
• Handle incoming calls from providers and voicemails
• Rerouting Return Mail
• Additional tasks as assigned
• This position has a small chance of needing to go onsite to a provider's office to collect needed medical records, again only if needed.

Skills

• 1-3 seasons of experience auditing and abstracting medical records required
• Medical knowledge/terminology is required.
• Ability to read and interpret medical records.
• Professional demeanor and good work ethic.
• Computer savvy: Microsoft Word, Excel, email, and Adobe reader required. Know how to save a file to a folder.
• Excellent verbal and written communication skills - clear, concise and appropriate.
• Conscientious problem solver, willing to learn, and take personal pride in their work performance/accuracy.
• Exceptional attention to detail and excellent analytical, investigation, and problem-solving skills
• Proven organizational and time management skills including the ability to meet required deadlines
• Must keep all information collected in a safe, organized and confidential manner while maintaining confidentiality of PHI, HIPAA Privacy and Security Rules.

Education

• Verifyable High School Diploma or GED Required