Remote - HEDIS Abstractors / HEDIS Reviewers

Advantmed; United States; Remote; USD 28,000 - 37,000; Full time

Job summary

Advantmed is seeking HEDIS Reviewers/Abstractors to work remotely from within the United States on a seasonal basis. The role involves collecting and abstracting medical records for HEDIS projects using Advantmed software, with strict accuracy standards.

Candidates should have at least 2 years of HEDIS abstraction experience and hold a medical coder certification (CPC/CCS/RHIT/RHIA) or an active nursing license (LPN/LVN/RN).

Qualifications

• Minimum of 2 years/seasons of prior work experience in HEDIS abstraction/Review in measures (e.g., BPD, CBP, PPC, TRC, WCC, GSD, COA).
• Medical coder certification: CPC, CCS, RHIT, RHIA through AAPC or AHIMA or Licensed Nurse (LPN/LVN/RN).
• Must have own Windows 10/11 laptop with high-speed internet and video-call capabilities.
• Knowledge of HIPAA laws and regulations.

Responsibilities

• Review medical records and transfer critical HEDIS data elements into a data entry portal.
• Data entry into Advantmed proprietary software.
• Maintain accuracy thresholds as set by Advantmed.
• Comply with HIPAA laws and regulations.

Skills

Data entry

HIPAA compliance

Education

Medical coder certification (CPC/CCS/RHIT/RHIA)

Licensed nurse (LPN/LVN/RN)

Tools

Advantmed software

Job description

HEDIS Reviewers / Abstractors

Job Types: Seasonal

• This is a remote position available to candidates located within the United States. Applicants must be eligible to work in the United States.

Candidates must have their own Windows 10/11 laptop (preferably Windows Professional Edition), along with high-speed internet access and video-call capabilities.

Pay Structure

• The training pay rate is $20/hour

• Live Season Pay Rate: $27/hour

Primary Purpose

Under the supervision of the Medical Record Review team, the HEDIS Abstractor conducts data collection and abstraction of medical records for HEDIS projects, HEDIS-like projects, and supplemental data collection. The abstraction team will meet chart abstraction productivity standards.

Job Roles and Responsibilities

• Responsible for reviewing medical records and transferring critical HEDIS data elements into a specified data entry portal to support HEDIS reporting and quality improvement.
• Data entry into Advantmed proprietary software.
• Maintain accuracy thresholds as set forth by Advantmed.
• Comply with HIPAA Laws and regulations
• Attend self-paced recorded training within a defined timeframe for required measures.

Experience

• Minimum of 2 years / seasons of prior work experience in HEDIS abstraction / Review in any of these measures: BPD, CBP, PPC, TRC ,WCC, GSD, COA, etc.
• Medical Coder Certification: CPC, CCS, RHIT, RHIA through AAPC or AHIMA OR
• Licensed Nurse: LPN, LVN, RN with an active license

Candidates must have their own Windows 10/11 laptop (preferably Windows Professional Edition), along with high-speed internet access and video-call capabilities.

Working Schedule

• Candidates must complete the required training within the designated timeframe, which may include recorded, self-paced, and/or live instructor-led sessions covering key measures and program requirements.
• Post-training, candidates must be available to work between 6:00 am EST and 6:00 pm EST, with a minimum commitment of 4 hours per day and a maximum of 8 hours per day.
• Chart reviews will follow on a first-come, first-served basis each day, with no option for split shifts.
• Weekend availability may be available, depending on upper management's decision as the live season progresses.