Description
The HEDIS Abstractor supports Quality Care Improvement initiatives by conducting comprehensive medical record reviews and abstraction activities to identify and close HEDIS measure care gaps. This role is responsible for ensuring accurate collection, validation, and submission of clinical data in accordance with NCQA HEDIS technical specifications and regulatory guidelines. The HEDIS Abstractor collaborates with internal quality teams, providers, and external audit vendors to improve measure performance, maintain compliance, and support successful HEDIS audits.
What You'll Do
- Perform medical record abstraction and chart review for HEDIS and quality improvement initiatives
- Identify and close HEDIS care gaps through accurate review and documentation of clinical records
- Interpret and apply HEDIS measure specifications, coding guidelines, and NCQA technical requirement
- Review and validate data for ac...