RemX – Accounting & Finance Staffing Hiring for HEDIS Reviewer – Remote at San Antonio, TX Full Time

RemX is currently seeking HEDIS Reviewer for Remote opportunity in the San Antonio, Texas Area for a contract position, Monday-Friday 8:00 am to 5:00 pm. The HEDIS Reviewer will be responsible for conducting HEDIS medical record reviews to ensure compliance with quality measures and improve the overall quality of care provided to our client’s members. This is a crucial role that directly impacts the health and well-being of the members.

Job Responsibilities:

• Conduct comprehensive medical record reviews to assess the quality and accuracy of healthcare services provided to members.
• 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.

• Review and abstract medical records to extract relevant data related to HEDIS measures.
• Locate and review ALL assigned medical charts, perform abstraction, copy all supporting.
• Ensure compliance with HEDIS technical specifications and guidelines.
• Collaborate with healthcare providers and other team members to collect necessary data.
• Maintain accurate and organized records to review medical data.
• Identify and any discrepancies or issues with documentation and data.
• Participate in quality improvements initiatives and provide input to enhance performance.
• Identifying trends and documentation of areas for improvement
• Maintaining project productivity levels while maintaining accuracy requirements for abstraction and data entry activities”

Qualifications

• Four or more years of experience auditing and abstracting medical records required.
• Ability to read and interpret medical records.
• Medical knowledge/terminology is required.
• Experience MS Word, Excel, email, and Adobe reader required.
• Excellent verbal and written communication
• Certification in HEDIS a plus
• Must keep all information collected in a safe, organized and confidential manner while maintaining confidentiality of PHI, HIPAA Privacy

and Security Rules

• Ability to meet deadlines, high attention to detail ability to work independently.