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Hedis Chart Jobs in Ohio (NOW HIRING)

Neighborhood Health Association

Lead Biller

Toledo, OH · On-site

$18.50 - $23.50/hr

Prepare quarterly audits for organization in accordance with best practices for patient chart documentation. Review HEDIS measures with the quality team to support best practices for reimbursement ...

Neighborhood Health Association

Lead Biller

Toledo, OH · On-site

$50K/yr

... chart documentation. • Review HEDIS measures with the quality team to support best practices for reimbursement and value-based care (VBC) submissions. Qualifications • Must have a coding ...

Kettering Health

RN-Oncology Clinic

Centerville, OH · On-site

Inputs, retrieves and interprets data from patient chart/ EMR in a timely manner. * Follows up promptly on patient concerns and questions. * Instructs patients and families regarding medications ...

Kettering Health

RN-Oncology Clinic

Centerville, OH · On-site

Inputs, retrieves and interprets data from patient chart/ EMR in a timely manner. * Follows up promptly on patient concerns and questions. * Instructs patients and families regarding medications ...

All JobsHedis Chart JobsHedis Chart Jobs in Ohio

Hedis Chart information

What is a HEDIS chart abstractor?

HEDIS chart abstractors are healthcare professionals who review and extract clinical information from patient medical records to support the Healthcare Effectiveness Data and Information Set (HEDIS) reporting process. Their work helps healthcare organizations measure and report on the quality of care provided to patients, ensuring compliance with national standards set by the National Committee for Quality Assurance (NCQA). HEDIS chart abstractors typically need a strong understanding of medical terminology, medical records, and quality measurement requirements. Their efforts directly impact a health plan’s quality scores and reputation.

What skills and qualifications are needed to thrive as a HEDIS chart abstractor?

To thrive as a HEDIS Chart Abstractor, you need a background in healthcare, strong knowledge of HEDIS measures, and experience with medical record review, often supported by a nursing or health information degree. Familiarity with electronic health record (EHR) systems, chart abstraction tools, and HEDIS-specific software like NCQA's tools is typically required. Attention to detail, analytical thinking, and strong organizational skills are essential soft skills for this role. These skills ensure accurate data collection and reporting, which are critical for healthcare quality improvement and compliance.

What are common challenges faced by professionals working in HEDIS chart abstraction, and how can they be addressed?

Professionals in HEDIS chart abstraction often encounter challenges such as incomplete or inconsistent medical records, tight reporting deadlines, and the need to navigate various electronic health record (EHR) systems. To address these issues, it helps to develop strong attention to detail, effective time management skills, and familiarity with multiple EHR platforms. Collaborating closely with healthcare providers and team members can also improve data accuracy and streamline the abstraction process.

What is the difference between Hedis Chart vs Medical Coder?

AspectHedis ChartMedical Coder
CredentialsTypically requires knowledge of HEDIS measures, healthcare documentation, and coding standardsRequires coding certifications like CPC, CCS, or CCS-P
Work EnvironmentHealthcare facilities, insurance companies, or consulting firmsHospitals, clinics, insurance companies, or coding service providers
Industry UsageUsed for quality measurement and healthcare reportingUsed for medical record coding and billing
Primary FocusChart review for HEDIS compliance and quality metricsAccurate medical record coding for billing and documentation

The main difference between a Hedis Chart specialist and a Medical Coder lies in their focus. Hedis Chart professionals concentrate on reviewing healthcare charts to ensure compliance with HEDIS quality measures, while Medical Coders focus on translating medical records into standardized codes for billing and documentation. Both roles require healthcare knowledge, but their specific tasks and certifications differ.

What does a Hedis Chart do?

A HEDIS chart is used by healthcare professionals to document and track patient care data related to quality measures defined by the Healthcare Effectiveness Data and Information Set (HEDIS). It helps ensure compliance with clinical guidelines, monitor patient outcomes, and improve healthcare quality by organizing relevant medical information systematically. Accurate charting is essential for quality reporting, audits, and care coordination.

What are popular job titles related to Hedis Chart jobs in Ohio?

For Hedis Chart jobs in Ohio, the most frequently searched job titles are:

What job categories do people searching Hedis Chart jobs in Ohio look for?

The top searched job categories for Hedis Chart jobs in Ohio are:

What cities in Ohio are hiring for Hedis Chart jobs?

Cities in Ohio with the most Hedis Chart job openings:

Hedis Chart jobs near you

Certified Coder / Audit Specialist

Akron, OH • On-site

Summa Health System
Outpatient Health Care • 5 - 10K employees

7.6

Company rating: 7.6 out of 10

Based on 118 frontline employees who took The Breakroom Quiz

190th of 895 rated healthcare providers

People enjoy working here

Good employer

Recommended by students

Learn more about Summa Health Systemexternal

$30.31 - $36.37/hr

Other

Medical, Dental, Vision, Life, Retirement, PTO

Posted 7 days ago

Job description

Certified Coder / Audit Specialist
Summa Health Medical Group
Akron, OH 44304
Full-Time Days
Will work remote after training and orientation
  • Two (2) years of work experience in a physician's office or Out-patient/In-patient setting performing documentation review per compliance and Medicare/Medicaid Standards, diagnostic code sequencing and familiarity to Medical Terminology required.
  • Certified Coding Specialist (CCS), Certified Coding Specialist-Physician (CCS-P), Certified Medical Coder (CMC), Certified Professional Coder (CPC), Certified ProfessionalMedical Auditor (CPMA) reqired.
Summa Health System is recognized as one of the region's top employers by a number of third party organizations, including NorthCoast 99. Exceptional candidates gravitate to Summa because of its culture, passion for delivering excellent service to our patients and families commitment to our philosophy of servant leadership, collegial working relationships at every level of the organization and competitive pay and benefits.
Summary:
Audits medical records per compliance measures for all SPI Physicians and providers; prepares and distributes recommendations and result findings including detailed reports of medical chart documentation issues. Provides education and training to providers and staff. Functions as a resource on coding related issues for SPI areas.
Formal Education Required:
-Certified Coding Specialist (CCS), Certified Coding Specialist-Physician (CCS-P), Certified Medical Coder (CMC), Certified Professional Coder (CPC), Certified Professional
Medical Auditor (CPMA).
-Passing score of 70% or better on an outpatient/inpatient coding test administered by the Manager
Experience and Training Required:
-Two (2) years of work experience in a physician's office or Out-patient/In-patient setting performing documentation review per compliance and Medicare/Medicaid Standards, diagnostic code sequencing and familiarity to Medical Terminology
Other Skills, Competencies and Qualifications:
-Ability to understand and follow the all policies for Chart Reviews/Audits by Insurance Carriers, any government, state or local entity including HEDIS, CERT and RAC.
-Knowledge in compliance to all guidelines including Medicare and Medicaid Standards.
-Ability to review medical documentation written or within an EMR.
-Understands and can perform job duties with the utmost level of confidentiality.
-Understands and exhibits work practices to support HIPAA Regulations and abides by all measures of Compliance.
-Knowledge in HIM, traditional medical charts and record storage.
Equal Opportunity Employer/Veterans/Disabled
$30.31/hr - $36.37/hr
The salary range on this job posting/advertising is base salary exclusive of any bonuses or differentials. Many factors, such as years of relevant experience and geographical location are considered when determining the starting rate of pay. We believe in the importance of pay equity and consider internal equity of our current team members when determining offers. Please keep in mind that the range that is listed is the full base salary range. Hiring at the maximum of the range would not be typical.
Summa Health offers a competitive and comprehensive benefits program to include medical, dental, vision, life, paid time off as well as many other benefits.
  • Basic Life and Accidental Death & Dismemberment (AD&D)
  • Supplemental Life and AD&D
  • Dependent Life Insurance
  • Short-Term and Long-Term Disability
  • Accident Insurance, Hospital Indemnity, and Critical Illness
  • Retirement Savings Plan
  • Flexible Spending Accounts - Healthcare and Dependent Care
  • Employee Assistance Program (EAP)
  • Identity Theft Protection
  • Pet Insurance
  • Education Assistance
  • Daily Pay

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