HEDIS RN: Data Quality & Compliance

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

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.