Seasonal Remote HEDIS Abstractor Nurse

mvphealthcare

United States

Remote

USD 65,000 - 90,000

Full time

6 days ago

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Benefits offered by this job

Competitive compensation

Comprehensive benefits focused on well

Remote work

Job summary

MVP Health Care is seeking experienced Temporary HEDIS Abstractor Nurses to support seasonal Clinical Quality and HEDIS medical record review activities. This role involves medical record abstraction, provider outreach, quality review, and use of HEDIS-related tools across several measures.

Location: Remote. Requires NY RN/LPN license and 1-2 years of clinical or quality experience, with knowledge of NCQA HEDIS and EMR systems.

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, chart review, or medical record review.
Working knowledge of NCQA HEDIS guidelines/specifications.
Experience using EMR/EHR systems and abstraction/documentation tools.
Strong knowledge of medical terminology, clinical documentation, and abstraction workflows.
Prior seasonal HEDIS experience in a health plan, managed care, vendor, or quality environment.
Experience with abstraction tools/platforms such as Inovalon, Quality Reporter, or similar systems.
Proficiency in at least 4 of the following measures: GSD, BPD, CBP, COA, PPC, WCC, and TRC.
Proficient in MS Office Suite, including Excel, Word, Outlook, and Teams.
References from manager at place of last HEDIS position worked.

Responsibilities

Perform medical record abstraction and chart review for assigned HEDIS measures, including GSD, BPD, CBP, COA, PPC, WCC, and TRC.
Review electronic and paper medical records to identify required clinical documentation, labs, vitals, visits, and measure-specific compliance elements. Accurately enter abstraction results into MVP-designated HEDIS systems, databases, and/or vendor tools.
Apply NCQA HEDIS technical specifications and internal abstraction guidance to determine compliant documentation.
Maintain required productivity, accuracy, and post-training performance thresholds.
Support provider outreach and medical record retrieval as needed.
Participate in quality assurance review, overreads, and audit support activities, as assigned.
Maintain confidentiality of provider, practitioner, and member information and comply with privacy requirements.