Remote Seasonal HEDIS Abstractor Nurse

MVP Service

United States

Remote

USD 39,000 - 55,000

Full time

10 days ago

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Job summary

MVP Health Care is seeking experienced Temporary HEDIS Abstractor Nurses to support seasonal clinical quality activities. You will perform medical record abstraction for HEDIS measures, review records for required documentation, and enter results into MVP-designated systems with NCQA-aligned specifications.

Requirements include an active NY RN/LPN license, 1–2 years in healthcare, and prior HEDIS or chart review experience.

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 or chart review.
Working knowledge of NCQA HEDIS guidelines/specifications.
Experience with EMR/EHR systems and abstraction tools.
Strong knowledge of medical terminology and abstraction workflows.
Seasonal HEDIS experience in health plan, managed care, vendor, or quality environment.
Experience with abstraction platforms such as Inovalon or Quality Reporter.
Proficiency in GSD, BPD, CBP, COA, PPC, WCC, TRC measures.

Responsibilities

Perform medical record abstraction and chart review for assigned HEDIS measures.
Review records to identify required documentation and enter results into HEDIS systems.
Apply NCQA specifications to determine compliant documentation.
Maintain required productivity and accuracy thresholds.
Support provider outreach and medical record retrieval as needed.
Participate in quality assurance, overreads, and audit support.
Maintain confidentiality of provider, practitioner, and member information.