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Full Time Rn Core Measure Abstractor Jobs in Torrance, CA

Astrana Health, Inc.

HEDIS Abstractor

Monterey Park, CA · On-site

$27 - $33/hr

Quality - Quality Care Improvement Employment Type: Full Time Location: 1600 Corporate Center Dr ... Certified Professional Coder (CPC), RHIT, RHIA, LVN/LPN, RN, or other healthcare-related ...

Astrana Health

HEDIS Abstractor

Monterey Park, CA · Hybrid

$27 - $33/hr

Interpret and apply HEDIS measure specifications, coding guidelines, and NCQA technical requirement ... Certified Professional Coder (CPC), RHIT, RHIA, LVN/LPN, RN, or other healthcare-related ...

Astrana Health, Inc.

HEDIS Abstractor

Monterey Park, CA · Hybrid

$27 - $33/hr

Interpret and apply HEDIS measure specifications, coding guidelines, and NCQA technical requirement ... Certified Professional Coder (CPC), RHIT, RHIA, LVN/LPN, RN, or other healthcare-related ...

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Sunmar Management Services

FULL TIME - RN

Fullerton, CA · On-site

$55/hr

Description We are looking for RNs for all shifts for full-time or part-time. Competitive Salary. * Directly supervises employees and carries out supervisory responsibilities in accordance with the ...

Sunmar Management Services

FULL - TIME RN

Fullerton, CA · On-site

$50/hr

Description We are looking for RNs for all shifts for full-time or part-time. Competitive Salary. * Directly supervises employees and carries out supervisory responsibilities in accordance with the ...

Sunmar Management Services

FULL-TIME RN

Fullerton, CA · On-site

$55/hr

Clear/Current Registered Nurse license in the state of California. Full-Time/Part-Time Full-Time Shift Various Shifts Pay Range $55/hr. DBA Gordon Lane Care Center Position RN Exempt/Non-Exempt Non ...

Sun Mar Health Care

FULL TIME - RN

Bellflower, CA · On-site

We are looking for RNs for full-time. Competitive Salary. * Directly supervises employees and carries out supervisory responsibilities in accordance with the Facility's policies and applicable laws.

Sun Mar Health Care

FULL-TIME RN

Fullerton, CA

GORDON LANE CARE CENTER We are looking for RNs for FT. Competitive Salary. * Directly supervises employees and carries out supervisory responsibilities in accordance with the Facility's policies and ...

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All JobsFull Time Rn Core Measure Abstractor JobsFull Time Rn Core Measure Abstractor Jobs in Torrance, CA

Full Time Rn Core Measure Abstractor information

What is the difference between Full Time Rn Core Measure Abstractor vs Full Time Rn Clinical Data Abstractor?

AspectFull Time Rn Core Measure AbstractorFull Time Rn Clinical Data Abstractor
CredentialsRN license, certification in healthcare qualityRN license, certification in clinical data management
Work EnvironmentHospitals, healthcare facilities focusing on quality metricsHospitals, clinics, research organizations handling clinical data
Employer & Industry UsageUsed in quality improvement and complianceUsed in clinical research and data analysis
Common Search & ComparisonYesNo

Full Time Rn Core Measure Abstractors primarily focus on healthcare quality metrics and compliance, while Full Time Rn Clinical Data Abstractors handle broader clinical data collection and analysis. Both roles require RN licensure but differ in their specific focus and work environment.

What cities near Torrance, CA are hiring for Full Time Rn Core Measure Abstractor jobs? Cities near Torrance, CA with the most Full Time Rn Core Measure Abstractor job openings:
Full Time Rn Core Measure Abstractor jobs near you

HEDIS Abstractor

Astrana Health, Inc.

Monterey Park, CA • On-site

$27 - $33/hr

Full-time

Posted 22 days ago

Job description

HEDIS Abstractor
Department: Quality - Quality Care Improvement
Employment Type: Full Time
Location: 1600 Corporate Center Dr., Monterey Park, CA 91754
Reporting To: Marie Halbrook
Compensation: $27.00 - $33.00 / hour
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 accuracy, completeness, and compliance with HEDIS standards
  • Conduct quality assurance (QA) reviews of abstracted records and audit findings
  • Collaborate with providers, clinics, health plans, and internal departments to obtain required medical documentation
  • Partner with external audit vendors to support medical record retrieval, validation and audit readiness activities
  • Analyze abstraction results and identify trends, discrepancies, or opportunities for process improvement
  • Ensure compliance with HIPAA and all applicable privacy and confidentiality regulations
  • Maintain productivity and accuracy standards while meeting project deadlines
  • Support continuous quality improvement initiatives and assist with reporting activities as needed
  • Other duties as assigned

Qualifications
  • High school diploma or equivalent required; associate or bachelor's degree in healthcare-related field
  • Have at least 2 year of HEDIS abstraction or medical record review experience
  • Strong knowledge of NCQA HEDIS measure specifications and quality improvement processes
  • Proficiency with ICD-10, CPT, HCPCS, and other clinical coding systems
  • Experience performing QA reviews and supporting HEDIS audit activities
  • Familiarity with EMR/EHR systems and healthcare documentation workflows
  • Strong analytical, organizational, and problem-solving skills
  • Excellent attention to detail and accuracy
  • Ability to work independently and manage multiple priorities in a fast-paced environment
  • Strong written and verbal communication skills

You're great for the role if:
  • Certified Professional Coder (CPC), RHIT, RHIA, LVN/LPN, RN, or other healthcare-related certification
  • Experience working with health plans, managed care organizations, or quality improvement departments
  • Knowledge of CMS Stars, risk adjustment, and population health initiatives strongly preferred

Environmental Job Requirements and Working Conditions
  • Our organization follows a hybrid work structure where the expectation is to work both in office and at home on a weekly basis. The office is located at 1600 Corporate Center Dr, Monterey Park CA 91754.
  • This role will require travelling locally up to 35% of the time.
  • The annual total compensation target pay range for this role is: $27.00 - $33.00 per hour. Actual compensation will be determined based on geographic location (current or future), experience, and other job-related factors.

Astrana Health is proud to be an Equal Employment Opportunity and Affirmative Action employer. We do not discriminate based on race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity, gender expression, age, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics. All employment is decided based on qualifications, merit, and business need. If you require assistance in applying for open positions due to a disability, please email us at humanresourcesdept@astranahealth.com to request an accommodation.
Additional Information:
The job description does not constitute an employment agreement between the employer and employee and is subject to change by the employer as the needs of the employer and requirements of the job change.

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