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HEDIS Data Reviewer

Company

Rose International

Location

Philadelphia, Pennsylvania

Posted

June 30, 2026

Position Overview

Education:
•Associate's Degree, RN, LPN, or relevant work experience

Qualifications/Skills/Experience:
• Three to five years working with HEDIS data, including chart review/collection. HEDIS, QRS, or STARs experience. Knowledge of medical terminology and basic charting to include diabetic labs, HPV testing, preventive health screenings, immunization, and well-care terminology for children, adults, and pregnant women.
• Understanding of current HEDIS Technical Specifications.
• Knowledgeable in the HEDIS audit process (PSV, CSV and MRRV).
• Proficiency in Excel, Word, PowerPoint Point and Outlook.
• Experience with medical record abstraction tool(s) and wiliness to learn any medical record abstraction tool.
• Experience in the Pediatric, Maternity, Diabetic or Provider Office Setting.
• Familiar with the Cancer Registry.
• Familiar with Bright Futures.
• Strong written and oral communication skills, critical thinking skills, and strong or...

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