Temporary HEDIS Abstractor, Nurse

This is a fully remote position, open to applicants in New York.

📋 Description

• Conduct medical record abstraction and chart reviews for designated HEDIS measures, including GSD, BPD, CBP, COA, PPC, WCC, and TRC.

• Examine both electronic and paper medical records to identify essential clinical documentation, including labs, vitals, visits, and compliance elements specific to measures.

• Accurately input abstraction findings into MVP-designated HEDIS systems, databases, and/or vendor tools.

• Utilize NCQA HEDIS technical specifications and internal abstraction guidelines to ascertain compliant documentation.

• Achieve and maintain required productivity, accuracy, and performance thresholds post-training.

• Assist with provider outreach and medical record retrieval as necessary.

• Engage in quality assurance reviews, overreads, and audit support activities as assigned.

• Uphold the confidentiality of provider, practitioner, and member information.

⛳️ Requirements

• Active New York unrestricted RN or LPN/LVN license.

• At least 1–2 years of experience in clinical, quality, or healthcare settings.

• Previous involvement with HEDIS abstraction, chart review, or medical record analysis.

• Familiarity with NCQA HEDIS guidelines/specifications.

• Experience with EMR/EHR systems and abstraction/documentation tools.

• Strong understanding of medical terminology, clinical documentation, and abstraction workflows.

• Previous seasonal HEDIS experience within a health plan, managed care, vendor, or quality environment.

• Proficient with abstraction tools/platforms such as Inovalon, Quality Reporter, or comparable systems.

• Competency in at least 4 of the following measures: GSD, BPD, CBP, COA, PPC, WCC, and TRC.

• Proficiency in MS Office Suite, including Excel, Word, Outlook, and Teams.

• References from the manager at the last HEDIS position held.

• Must adhere to privacy regulations.

• Ability to successfully complete pre-employment criminal background checks and drug testing.

🏝️ Benefits

• Opportunities for career advancement and professional growth.

• A people-focused culture that values and celebrates diverse perspectives, backgrounds, and experiences within our team.

• Competitive salary and a comprehensive benefits package that prioritizes well-being.

• Chance to influence the future of healthcare.

• Pre-employment criminal background checks and drug testing are integral to the hiring process.