HEDIS Reviewer III

Job Summary

Working remotely with the potential for future onsite engagement, the full-time HEDIS Reviewer III will participate in the collection and review of medical records, abstract clinical information for HEDIS quality reporting, and ensure compliance with regulatory requirements.

Key responsibilities

• Participate in the collection and review of medical records to abstract clinical information for HEDIS quality reporting
• Verify accurate and complete documentation of required information to meet regulatory, risk management, and accreditation requirements
• Maintain project productivity while ensuring accuracy and confidentiality of PHI and sensitive information

Required qualifications

• Verifyable High School Diploma or GED
• Medical knowledge/terminology required
• Proficiency with databases, Adobe PDF, Microsoft Word, Excel, and email