Remote HEDIS LPN — Chart Abstraction & QA

ACTalent; United States; Remote; USD 44,000 - 55,000; Part time

Benefits offered by this job

Medical, dental & vision

401(k) Retirement Plan

Life Insurance

PTO / Vacation & Sick Leave

Job summary

Actalent is hiring a team of HEDIS Licensed Practical Nurse (LPN) to perform medical record review, abstraction, and validation in a 100% remote role. The LPN will support NCQA/HEDIS reporting with data accuracy and compliance, collaborating with quality teams and health plan partners.

This contract position is based out of Madison, WI, and offers hourly compensation. The ideal candidate has an active LPN license, at least 1 year of clinical nursing experience, and strong EMR and HIPAA

Qualifications

• Active, unrestricted LPN license required.
• Minimum 1 year of clinical nursing experience required.
• Experience reviewing medical records and interpreting clinical documentation.
• Strong knowledge of medical terminology and preventive care guidelines.
• Proficiency with Microsoft Office and EMR systems.

Responsibilities

• Review and abstract clinical data from EMRs per HEDIS and NCQA guidelines.
• Retrieve, organize, and validate medical records for quality improvement and regulatory reporting.
• Document evidence of compliance for HEDIS measures via chart reviews.
• Evaluate records for completeness, accuracy, and appropriate documentation.
• Research and resolve discrepancies found during chart abstraction and validation.
• Collaborate with providers and quality teams to obtain missing documentation.
• Maintain productivity and quality standards for chart review and abstraction.
• Use multiple EMR platforms to locate and extract relevant data.
• Comply with HIPAA and confidentiality standards in handling PHI.
• Participate in quality audits, training, and calibration sessions.
• Perform additional quality improvement and medical record review activities.

Skills

Active unrestricted LPN license

High school diploma or equivalent

Clinical nursing experience

Medical records review

Medical terminology knowledge

Microsoft Office proficiency

EMR systems proficiency

Detail-oriented

HIPAA compliance

Healthcare/manged care environment

Confidential data handling

Education

High school diploma or equivalent

Tools

EMR platforms

Microsoft Office

Job description

Actalent is hiring a team of HEDIS Licensed Practical Nurse (LPN) to perform medical record review, abstraction, and validation in a 100% remote role. The LPN will support NCQA/HEDIS reporting with data accuracy and compliance, collaborating with quality teams and health plan partners.

This contract position is based out of Madison, WI, and offers hourly compensation. The ideal candidate has an active LPN license, at least 1 year of clinical nursing experience, and strong EMR and HIPAA