HEDIS Reviewer III

Working remotely with the potential for future onsite engagement, the full-time HEDIS Reviewer III will participate in the collection and review of medical records, abstract clinical information for HEDIS quality reporting, and ensure compliance with regulatory requirements. Key responsibilities Participate in the collection and review of medical records to abstract clinical information for HEDIS quality reporting Verify accurate and complete documentation of required information to meet regulatory, risk management, and accreditation requirements Maintain project productivity while ensuring accuracy and confidentiality of PHI and sensitive information Required qualifications Verifyable High School Diploma or GED Medical knowledge/terminology required Proficiency with databases, Adobe PDF, Microsoft Word, Excel, and email