Job Description

Job Title: HEDIS Coordinator

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

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