HEDIS Reviewer II

Job Title:

HEDIS Reviewer II

Duration: 5 Months Contract (Potential for extension)

Location:

Remote

Shift

Hours:

Monday thru Friday, 8 hours worked, between the hours of 8am and 5pm local time

Start date:

01/05/2026

• Participates in the collection and review of medical records to abstract clinical information for HEDIS quality reporting.
• Training will be provided prior to the start of the assignment.
• May be selected to do an onsite visit to a provider’s office to collect medical records, only as needed.

• This position interprets relevant clinical criteria through review of medical records, annotates via Adobe PDF and populates a data collection tool to support compliance with HEDIS and CMS performance measures.
• Ensures accurate and complete documentation of required information to meet risk management, regulatory, and accreditation requirements.
• Requires proficiency with databases and conducting all work activities on the computer.
• Must commit to the duration of the project with the understanding that work hours can vary.
• Due to proprietary information, must inform employer if planning to accept employment with another company.

• Complete assigned abstraction and data entry each day.
• Work with provider offices as needed to schedule/confirm appointments, follow up on medical record submission, and provide patient rosters.
• Locate and review all assigned medical charts, perform abstraction, copy all supporting documentation per specifications, and data enter into the applicable software system.
• Prioritize and accurately complete tasks within established times.
• Identify trends and document areas for improvement.
• Maintain project productivity levels while maintaining accuracy requirements for abstraction and data entry activities.

• Experience with collection and review of medical records for HEDIS quality reporting.
• Proficiency in using Adobe PDF for annotations and in populating data collection tools.
• Strong database skills and ability to conduct 100% of work activities on computer.
• Demonstrated ability to meet deadlines and maintain high accuracy in data abstraction.