RN HEDIS Nurse Reviewer

Job Summary

A company is looking for a HEDIS Nurse Reviewer.

Key Responsibilities

• Participate in the collection and review of medical records to abstract clinical information for HEDIS quality reporting
• Complete assigned abstraction and data entry each day while maintaining project productivity levels
• Work with provider offices to schedule appointments, follow up on medical record submissions, and provide patient rosters

Required Qualifications

• High School Diploma or equivalent
• Must have RN, LPN, or LVN license
• 4 or more seasons of experience auditing and abstracting medical records
• Medical knowledge and ability to read and interpret medical records
• Proficiency in Microsoft Word, Excel, email, and Adobe Reader