RN HEDIS Record Reviewer – Quality Metrics Expert

SmartRecruiters, Inc.; Milwaukee (WI); On-site; USD 55,000 - 75,000; Full time

Job summary

Integrated Resources, Inc. is seeking a qualified HEDIS Record Reviewer (RN) to perform detailed medical record review and abstraction for quality reporting.

The role involves work in client offices and community provider sites, handling paper and electronic records. The ideal candidate will hold a Wisconsin RN license, have experience with HEDIS abstraction, familiarity with medical records, and proficiency with PC-based systems.

Qualifications

• Wisconsin RN license is required.
• Experience with HEDIS medical record review and abstraction.
• Familiarity with medical records (paper and electronic).
• Proficiency with PC-based systems and ability to learn new software quickly.
• Ability to interact effectively with healthcare providers.
• Must have personal vehicle and a valid Wisconsin driver's license with insurance.

Responsibilities

• Perform accurate medical record review and abstraction for HEDIS reporting.
• Conduct work in client offices and provider offices with paper and electronic records.
• Capture and secure documentation using an electronic reporting system.

Skills

HEDIS record review

Interacting with healthcare providers

PC-based systems

Ability to learn software quickly

Education

Wisconsin RN license

Tools

PC-based systems

Job description

Integrated Resources, Inc. is seeking a qualified HEDIS Record Reviewer (RN) to perform detailed medical record review and abstraction for quality reporting.

The role involves work in client offices and community provider sites, handling paper and electronic records. The ideal candidate will hold a Wisconsin RN license, have experience with HEDIS abstraction, familiarity with medical records, and proficiency with PC-based systems.