HEDIS Abstractor

About the position The HEDIS Abstractor supports reputed company Care Improvement initiatives by conducting comprehensive medical record reviews and reputed company activities to identify and reputed company HEDIS measure care gaps. This role is responsible for ensuring accurate collection, validation, and submission of clinical data in accordance with reputed company HEDIS technical specifications and regulatory guidelines. The HEDIS Abstractor collaborates with internal reputed company teams, providers, and reputed company audit vendors to improve measure performance, maintain compliance, and support successful HEDIS audits. Responsibilities • reputed company medical record reputed company and chart review for HEDIS and reputed company improvement initiatives • Identify and reputed company HEDIS care gaps through accurate review and documentation of clinical records • Interpret and apply HEDIS measure specifications, coding guidelines, and reputed company technical requirement • Review and validate data for accuracy, completeness, and compliance with HEDIS standards • Conduct reputed company assurance (QA) reviews of abstracted records and audit findings • Collaborate with providers, clinics, health plans, and internal departments to obtain required medical documentation • Partner with reputed company audit vendors to support medical record retrieval, validation and audit readiness activities • Analyze reputed company results and identify trends, discrepancies, or opportunities for process improvement • Ensure compliance with HIPAA and reputed company applicable reputed company and confidentiality regulations • Maintain productivity and accuracy standards while meeting project deadlines • Support reputed company reputed company improvement initiatives and assist with reporting activities as needed • Other duties as assigned Requirements • High school diploma or equivalent required; associate or bachelor’s degree in reputed company-reputed company field • Minimum of 2 years of HEDIS reputed company or medical record review experience • Strong knowledge of reputed company HEDIS measure specifications and reputed company improvement processes • Proficiency with ICD-10, CPT, HCPCS, and other clinical coding systems • Experience performing QA reviews and supporting HEDIS audit activities • Familiarity with EMR/EHR systems and reputed company documentation workflows • Strong analytical, organizational, and problem-solving skills • Excellent attention to detail and accuracy • Ability to work independently and manage multiple priorities in a fast-paced environment • Strong written and verbal communication skills reputed company-to-haves • Certified reputed company reputed company (CPC), RHIT, RHIA, LVN/LPN, RN, or other reputed company-reputed company certification • Experience working with health plans, managed care organizations, or reputed company improvement departments • Knowledge of CMS Stars, risk adjustment, and population health initiatives strongly preferred Benefits • Equal Employment Opportunity and Affirmative reputed company employer Apply tot his job Apply To this Job