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Hedis Chart Jobs in Wisconsin (NOW HIRING)

Partner with Quality Analytics and HEDIS teams to support collection, validation, and reporting of ... Support chart retrieval, provider communication, and quality data collection efforts as needed

WI · On-site

$145 - $200/hr

End-to-end support across HEDIS, CAHPS, HOS, Part D, and SNP performance, tailored to each ... Ours is a path of learning and continuous improvement; team efforts chart the course for corporate ...

New

WI · On-site

$90 - $125/hr

Ours is a path of learning and continuous improvement; team efforts chart the course for corporate ... Analyze and interpret data across HEDIS, CAHPS, HOS, Part D, operational measures, and Special ...

WI · On-site

$145 - $215/hr

Ours is a path of learning and continuous improvement; team efforts chart the course for corporate ... Demonstrated experience supporting Medicare Stars, CAHPS, HEDIS, value-based care, or related ...

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.

RN (Quality Improvement/Chart Review)

Healthcare Support Staffing

Milwaukee, WI • On-site

Full-time

Re-posted 24 days ago


Job description

Company Description

HealthCare Support Staffing, Inc. (HSS), is a proven industry-leading national healthcare recruiting and staffing firm. HSS has a proven history of placing talented healthcare professionals in clinical and non-clinical positions with some of the largest and most prestigious healthcare facilities including: Fortune 100 Health Plans, Mail Order Pharmacies, Medical Billing Centers, Hospitals, Laboratories, Surgery Centers, Private Practices, and many other healthcare facilities throughout the United States. HealthCare Support Staffing maintains strong relationships with top providers in healthcare and can assure healthcare professionals they will receive fast access to great career opportunities that best fit their expertise. Connect with one of our Professional Recruiting Consultants today to see how a conversation can turn into a long-lasting and rewarding career!

Job Description

More Insight of Daily Responsibilities:  

Perform duties and functions to comply with quality improvement programs according to state requirements.

Support Quality Assurance Performance Improvement work plan/initiatives.

Schedule and assist with committee and sub-committee preparation.

Assist in investigation and resolution of member quality of care complaints.

Audit medical records and monitor performance measures for heath care risk management, sentinel events and trends.


Qualifications

What We Look For: 

RN required

2+ years of HEDIS or chart review experience

Computer skills



Additional Information

Advantages of this Opportunity: 

Competitive salary 33hr

Long Term

Fun and positive work environment

Opportunities for Advancement




Healthcare Support logo

About Healthcare Support

Sourced by ZipRecruiter

HealthCare Support Staffing, Inc. (HSS), is a proven industry-leading national healthcare recruiting and staffing firm. HSS has a proven history of placing talented healthcare professionals in clinical and non-clinical positions with some of the largest and most prestigious healthcare facilities including: Fortune 100 Health Plans, Mail Order Pharmacies, Medical Billing Centers, Hospitals, Laboratories, Surgery Centers, Private Practices, and many other healthcare facilities throughout the United States. HealthCare Support Staffing maintains strong relationships with top providers in healthcare and can assure healthcare professionals they will receive fast access to great career opportunities that best fit their expertise. Connect with one of our Professional Recruiting Consultants today to see how a conversation can turn into a long-lasting and rewarding career!Healthcare Support Staffing, Inc. is an equal employment opportunity employer and will consider all qualified applicants without regard to race, color, religion, disability, sex, sexual orientation, gender identity, national origin, protected veteran status, or any other characteristic protected by applicable local, state, or federal law.

Industry

Recruiting and staffing services

Company size

201 - 500 Employees

Headquarters location

Maitland, FL, US

Year founded

2003

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