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Experienced Remote HEDIS Reviewer II - Medical Record Abstraction and Data Entry Specialist

Remote, USA Full-time Posted 2025-11-03

Join a Culture of Excellence and Collaboration: Remote HEDIS Reviewer II Opportunity

Are you a detail-oriented and organized professional with a strong background in medical record abstraction and data entry? Do you have a passion for delivering high-quality results in a fast-paced environment? If so, we have an exciting opportunity for you to join our team as a Remote HEDIS Reviewer II!

Our company is committed to excellence and collaboration, and we're looking for talented individuals to help drive our success. As a Remote HEDIS Reviewer II, you will play a critical role in our HEDIS (Healthcare Effectiveness Data and Information Set) review process, ensuring accurate and timely data entry and abstraction of medical records.

About Our Company and the HEDIS Review Industry

Our company is a leading provider of healthcare data analytics and quality improvement services. We work with healthcare organizations to help them improve patient outcomes, reduce costs, and enhance the overall quality of care. The HEDIS review process is a critical component of this work, as it involves the collection and analysis of data to measure healthcare performance and identify areas for improvement.

As a Remote HEDIS Reviewer II, you will be part of a team of experienced professionals who are dedicated to delivering high-quality results and driving excellence in the healthcare industry. Our company culture is built on a foundation of collaboration, innovation, and continuous learning, and we're committed to providing our employees with the tools, resources, and support they need to succeed.

Key Responsibilities

  • Complete assigned abstraction and data entry tasks each day, ensuring accurate and timely completion of work.
  • Work with provider offices as needed to schedule/confirm appointments, follow up on medical record submission, and provide patient rosters.
  • Locate and review all assigned medical charts, perform abstraction, copy all supporting documentation per specifications, and data enter into the applicable software system.
  • Prioritize and accurately complete tasks within established times, meeting productivity and quality standards.
  • Identify trends and document areas for improvement, providing insights and recommendations to enhance the HEDIS review process.
  • Maintain project productivity levels while maintaining accuracy requirements for abstraction and data entry activities.

Essential Qualifications

  • 0-3 seasons of experience auditing and abstracting medical records required.
  • Medical knowledge/terminology is required, with the ability to read and interpret medical records.
  • Professional demeanor and good work ethic, with a strong commitment to delivering high-quality results.
  • Computer savvy: Microsoft Word, Excel, email, and Adobe reader required, with the ability to save files to a folder and navigate software systems.
  • Excellent verbal and written communication skills, with the ability to communicate clearly, concisely, and appropriately.
  • Conscientious problem solver, willing to learn, and take personal pride in their work performance/accuracy.

Preferred Qualifications

  • Experience working in a fast-paced, dynamic environment, with the ability to adapt to changing priorities and deadlines.
  • Knowledge of HEDIS measures and specifications, with the ability to apply this knowledge to abstraction and data entry tasks.
  • Experience working with electronic health records (EHRs) and other healthcare software systems.
  • Strong analytical and problem-solving skills, with the ability to identify trends and document areas for improvement.

Skills and Competencies Required for Success

  • Exceptional attention to detail, with the ability to accurately abstract and enter data.
  • Excellent analytical, investigation, and problem-solving skills, with the ability to identify trends and document areas for improvement.
  • Proven organizational and time management skills, with the ability to meet required deadlines and prioritize tasks effectively.
  • Strong communication and interpersonal skills, with the ability to work effectively with provider offices and other stakeholders.
  • Ability to maintain confidentiality of PHI, HIPAA Privacy and Security Rules, and other sensitive information.

Career Growth Opportunities and Learning Benefits

As a Remote HEDIS Reviewer II, you will have opportunities to grow your career and develop new skills. Our company is committed to providing ongoing training and development opportunities, including:

  • Comprehensive training on HEDIS measures and specifications.
  • Ongoing support and guidance from experienced team leaders and mentors.
  • Opportunities to develop new skills, such as data analysis and reporting.
  • Career advancement opportunities, including leadership roles and specialized positions.

Work Environment and Company Culture Highlights

As a remote employee, you will have the flexibility to work from home or other remote locations, with the ability to set your own schedule within established guidelines. Our company culture is built on a foundation of collaboration, innovation, and continuous learning, and we're committed to providing our employees with the tools, resources, and support they need to succeed.

Compensation, Perks, and Benefits

We offer a competitive salary of $30.63 per hour, with bi-weekly pay. Our benefits package includes:

  • Health, optical, dental, life, and short-term disability insurance available to full-time employees after 90 days of employment.
  • A 401(k) with a company match available for full-time employees with 1 year of service on our eligibility dates.
  • Opportunities for career advancement and professional growth.
  • A dynamic and supportive work environment, with ongoing training and development opportunities.

Conclusion

If you're a motivated and detail-oriented professional with a strong background in medical record abstraction and data entry, we encourage you to apply for this exciting opportunity. As a Remote HEDIS Reviewer II, you will play a critical role in our HEDIS review process, ensuring accurate and timely data entry and abstraction of medical records. Join our team and be part of a culture of excellence and collaboration!

To apply, please submit your application or resume to Saw Hlaing at [email protected] or call 412-790-5425.

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