Remote HEDIS Abstractor Nurse (Seasonal)

LE12 MVP Service Corp.

New York (NY)

Hybrid

USD 33,000 - 47,000

Part time

2 days ago
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Job summary

MVP Health Care invites experienced temporary HEDIS Abstractor Nurses to support seasonal clinical quality and HEDIS medical record review activities. The role covers multiple measures and requires NCQA guidelines knowledge, EMR/EHR experience, and strong documentation skills.

Responsibilities include chart abstraction, data entry into HEDIS systems, provider outreach, and quality assurance support. Location is remote with NY licensure requirements and a focus on accuracy and confidentiality.

Qualifications

  • Current New York unrestricted RN or LPN/LVN license.
  • Minimum 1–2 years of clinical, quality, or healthcare experience.
  • Prior experience with HEDIS abstraction, chart review, or medical record review.
  • Working knowledge of NCQA HEDIS guidelines/specifications.
  • Experience using EMR/EHR systems and abstraction/documentation tools.
  • Strong knowledge of medical terminology, clinical documentation, and abstraction workflows.
  • Prior seasonal HEDIS experience in a health plan, managed care, vendor, or quality environment.
  • Experience with abstraction tools/platforms such as Inovalon, Quality Reporter, or similar systems.
  • Proficiency in at least 4 of the measures: GSD, BPD, CBP, COA, PPC, WCC, TRC.
  • Proficient in MS Office Suite, including Excel, Word, Outlook, and Teams.
  • References from manager at place of last HEDIS position worked

Responsibilities

  • Perform medical record abstraction and chart review for assigned HEDIS measures.
  • Review electronic and paper medical records to identify required documentation and elements.
  • Enter abstraction results into MVP-designated systems and vendor tools.
  • Apply NCQA HEDIS specifications and internal guidance to determine compliant documentation.
  • Maintain required productivity and accuracy thresholds.
  • Support provider outreach and medical record retrieval as needed.
  • Participate in quality assurance reviews and audit support activities.
  • Maintain confidentiality of provider, practitioner, and member information.

Skills

RN/LPN license
HEDIS abstraction
NCQA HEDIS guidelines
EMR/EHR systems
Medical terminology
HEDIS tools
MS Office
References from manager

Tools

Inovalon
Quality Reporter
HEDIS platforms

Job description

MVP Health Care invites experienced temporary HEDIS Abstractor Nurses to support seasonal clinical quality and HEDIS medical record review activities. The role covers multiple measures and requires NCQA guidelines knowledge, EMR/EHR experience, and strong documentation skills.

Responsibilities include chart abstraction, data entry into HEDIS systems, provider outreach, and quality assurance support. Location is remote with NY licensure requirements and a focus on accuracy and confidentiality.

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