Remote HEDIS Overreader Nurse (RN/LPN) – TX Contract

HireOps Staffing; United States; A distancia; USD 55.000 - 61.000; Jornada completa

Descripción de la vacante

HireOps Staffing is seeking an RN or LPN with clinical experience for a remote contract in Texas. The role supports HEDIS data abstraction review under supervision, ensuring NCQA-aligned accuracy and data integrity.

The incumbent will over-read abstraction work, correct errors, and communicate findings with the HEDIS team, while maintaining HIPAA compliance and productivity targets. Salary is $42/hour with immediate start through 6/28/2024.

Formación

• Degree, Diploma or Certificate from a school of nursing with clinical experience.
• Licensed in the State of Illinois
• Knowledge of medical terminology
• Data entry and/or typing experience.
• Clear and concise written and verbal communication skills.
• PC proficiency to include Word, Excel and Lotus Notes.
• Auditing experience preferred.

Responsabilidades

• Accurately and efficiently over-read medical record abstractions performed by the HEDIS abstraction staff on a daily basis according to HEDIS specifications and company training guidelines.
• Complete the IRR/over-read tool in the Software Application, including comments if errors are found. Correct errors identified through over-read process, including a re-review of charts that may contain similar errors.
• Identify and report abstraction errors and provide measure re-education with for the abstractor.
• Utilizes various software applications to support HEDIS operations by entering data and / or changing chase status for the identified chase(s).
• Meets with HEDIS Coordinator and / or QI Specialists to discuss HEDIS efforts, any open issues and can include IRR results.
• Maintains productivity level as determined by the HEDIS Coordinator/QI Department.
• Maintain compliance with all HIPPA and patient confidentiality requirements.
• All other duties as assigned.

Conocimientos

Clinical experience

Data entry

Typing

Medical terminology

Communication skills

Word/Excel usage

Educación

Nursing degree/diploma/licensure

Herramientas

Lotus Notes

Excel

Word

Descripción del empleo

HireOps Staffing is seeking an RN or LPN with clinical experience for a remote contract in Texas. The role supports HEDIS data abstraction review under supervision, ensuring NCQA-aligned accuracy and data integrity.

The incumbent will over-read abstraction work, correct errors, and communicate findings with the HEDIS team, while maintaining HIPAA compliance and productivity targets. Salary is $42/hour with immediate start through 6/28/2024.