HEDIS Coordinator
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Job Location:
Newtown, PA - USA
Monthly Salary:
Not Disclosed
Posted on:
4 hours ago
Vacancies:
1 Vacancy
Job Summary
Location: Newtown Square PA
Duration: 3 Months
Job Type: Contract
Note: Top 3 Keywords: 1- HEDIS Medical Record Abstraction 2- Medical Terminology & Chart Review 3- HIPAA Compliance & Healthcare Data Quality
Top Required Skills:
- HEDIS abstraction and medical record review
- Medical terminology and charting accuracy
- Attention to detail and quality compliance
Must-Have Skills:
- 1 3 years of experience in medical record abstraction case management or clinical data collection
- Knowledge of HEDIS measures and specifications
- Strong understanding of medical terminology and basic charting
- Ability to work in a production-driven environment
- High attention to detail with strong data validation and quality-check skills
- Ability to prioritize tasks and meet daily productivity goals
- Ability to work effectively within multidisciplinary teams
- Knowledge of HIPAA and patient confidentiality requirements
Nice-to-Have Skills:
- Experience with HEDIS databases or quality improvement platforms
- Experience performing over-reads or secondary chart reviews
- Experience identifying trends and opportunities for quality improvement
- Familiarity with healthcare regulations and compliance standards
Key Responsibilities & Duties:
- Review and abstract clinical and treatment data from medical records and case management systems to ensure HEDIS compliance
- Validate and verify accuracy of abstracted data against HEDIS specifications and quality standards
- Coordinate with providers and clinical staff to obtain required medical records
- Perform quality checks and resolve data inconsistencies or errors
- Document findings in HEDIS databases and prescribed platforms
- Meet daily medical record abstraction productivity and accuracy goals
- Track report and correct issues identified through over-read processes
- Re-review charts with similar errors to ensure consistent correction
- Provide abstraction results trends and improvement insights to stakeholders
- Maintain compliance with HIPAA patient confidentiality and QI department standards
Requirements:
- High School Diploma or GED required
- Ability to accurately complete tasks within established timelines
- Strong organizational and time-management skills
- Commitment to quality accuracy and compliance
Key Skills
- Corporate Risk Management
- Electronics
- Infection Control
- Bakery
- ELV
- Accident Investigation
