Seasonal HEDIS Chart Abstractor & Data Validator

Verda Healthcare; Huntington Beach (CA); On-site; USD 39,000 - 44,000; Full time

Job summary

Verda Healthcare, Inc. in Huntington Beach, CA is seeking a seasonal HEDIS Chart Abstractor/Measure Validator to review and validate clinical data for NCQA measures.

The role requires chart abstraction and data entry within HEDIS software, with HIPAA-compliant handling of PHI and inter-rater reliability testing. The position is full-time onsite with standard hours, offering an hourly compensation range of $28-$32.

Qualifications

• Minimum of 1–2 years of direct experience with HEDIS chart abstraction, medical record auditing, or clinical quality measurement.
• Deep understanding of NCQA HEDIS technical specifications and coding standards.
• Hands-on experience with major EMR systems and HEDIS software platforms.

Responsibilities

• Medical Record Review & Abstraction: Access and review EMR or paper charts to locate documentation for HEDIS measures.
• Measure Validation: Validate abstracted data against NCQA HEDIS specifications for accuracy.
• Data Entry & Documentation: Enter abstracted data into internal HEDIS software or data systems.
• Quality Assurance: Participate in IRR testing to maintain consistency and quality across the team.
• Provider Outreach: Collaborate with provider offices to request missing chart components.
• Compliance Tracking: Adhere to HIPAA and privacy standards and PHI handling protocols.
• Issue Resolution: Escalate discrepancies or errors to Quality Improvement leadership.

Skills

Strong analytical skills

Exceptional attention to detail

Independent work

Education

RN, LPN/LVN, RHIA, RHIT, CPHQ, or CPC

Tools

Epic

Cerner

Allscripts

Cotiviti

Inovalon

Inovalon QSI

Job description

Verda Healthcare, Inc. in Huntington Beach, CA is seeking a seasonal HEDIS Chart Abstractor/Measure Validator to review and validate clinical data for NCQA measures.

The role requires chart abstraction and data entry within HEDIS software, with HIPAA-compliant handling of PHI and inter-rater reliability testing. The position is full-time onsite with standard hours, offering an hourly compensation range of $28-$32.