Remote HEDIS Review Nurse - Accurate Abstractions

Spectraforce Technologies; Raleigh (NC); A distancia; USD 55.000 - 85.000; Jornada completa

Descripción de la vacante

Spectraforce Technologies is seeking a RN or LPN for a remote HEDIS Review Nurse assignment of 4+ months. You will perform medical record abstractions and overreads for the annual NCQA HEDIS survey, following NCQA guidelines and technical specs.Responsibilities include managing folders, annotating medical records, data entry into QSHR, and ensuring 95% accuracy. Strong skills in PDF/Word/Excel, HIPAA compliance, and clear communication with project management are required.

Formación

• RN or LPN with unrestricted license.
• 2 years HEDIS abstraction/over-reading experience.
• Data entry proficiency.
• Working knowledge of PDF, Word and Excel.
• Excellent written and communication skills.
• Database management.

Responsabilidades

• Abstract medical records.
• Apply product/plan specific abstraction criteria during medical record review.
• Maintain defined productivity volumes.
• Sustain 95% accuracy during abstraction and data entry.
• Perform quality reviews of abstracted medical records.
• Ensure HIPAA and confidentiality compliance.
• Attend scheduled project meetings and escalate issues as needed.
• Other duties as assigned.

Conocimientos

HEDIS abstraction

Data entry

Communication skills

RN/LPN license

Database management

Educación

RN or LPN license (unrestricted)

Herramientas

QSHR proficiency

Microsoft Word

Microsoft Excel

PDF tools

Descripción del empleo

Spectraforce Technologies is seeking a RN or LPN for a remote HEDIS Review Nurse assignment of 4+ months. You will perform medical record abstractions and overreads for the annual NCQA HEDIS survey, following NCQA guidelines and technical specs.Responsibilities include managing folders, annotating medical records, data entry into QSHR, and ensuring 95% accuracy. Strong skills in PDF/Word/Excel, HIPAA compliance, and clear communication with project management are required.