HEDIS Reviewer

A company is looking for a HEDIS Reviewer.

Key Responsibilities

Audit information entered into the software system for abstraction, overreading, and data entry

Maintain project productivity levels while ensuring accuracy in abstraction and data entry

Identify and follow through with continuous quality / compliance opportunities and educate customers for compliance and satisfaction

Required Qualifications

5 or more seasons of HEDIS experience in reviewing medical records

RN / LVN with an associate or bachelor's degree preferred, but not required

Successful HEDIS review experience may substitute for licensure

Participation in the audit / overread of the medical record collection and review process for HEDIS quality reporting