HEDIS Reviewer

Position: HEDIS Reviewer – Work From Home (Michigan Only) Location: Remote – Must reside in Michigan (MI) Schedule: Monday – Friday, 8:00 AM – 5:00 PM Job Summary: HEDIS Reviewer III (Medical Record Review Abstractor) to support HEDIS quality reporting. This role involves reviewing and abstracting clinical information from medical records, annotating via Adobe PDF, and populating a data collection tool to ensure compliance with HEDIS and CMS performance measures. Training will be provided prior to the start of the project. Key Responsibilities: • Complete assigned medical record abstraction and data entry daily. • Review medical charts, copy supporting documentation, and enter all abstracts into designated software. • Work with provider offices to schedule appointments, follow up on record submissions, and manage patient rosters. • Prioritize and complete tasks accurately within established deadlines. • Identify trends, document areas for improvement, and maintain project productivity while meeting quality standards. • Maintain confidentiality of all information in compliance with HIPAA and PHI regulations. • Attend all required training sessions and conference calls. Required Qualifications: • 4+ seasons of experience auditing and abstracting medical records. • Strong medical knowledge and ability to read and interpret medical records. • Proficient in Microsoft Word, Excel, email, and Adobe Reader; able to save files in folders. • Excellent verbal and written communication skills. Apply tot his job Apply To this Job