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Hedis Remote Chart Review Jobs in Indiana (NOW HIRING)

Harris

Remote Join our mission to help transform healthcare delivery from reactive, episodic care to ... Chart Review: 8 min Outreach Attempts: 6 min Actual Call: 11 min Care Coordination: 9 min Total ...

Harris

$10/hr

Chart Review 8 min Outreach Attempts: 6 min Actual Call:11 min Care Coordination:9 min * Total Time Spent:44 min = 2 encounters * As a productivity-based position - there is no compensation outside ...

Urrly

Telehealth Nurse Practitioner

Indianapolis, IN · Remote

$600 - $720/day

Close HEDIS care gaps during visits * Review medical history, medications, and preventive needs ... Fully remote work - no commute * Consistent visit flow and structured workflows * Clear ...

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Hedis Remote Chart Review information

What are some common challenges faced by professionals in a HEDIS remote chart review role, and how can they be addressed?

Professionals in HEDIS Remote Chart Review often encounter challenges such as inconsistent documentation in medical records, navigating various electronic health record (EHR) systems, and ensuring data accuracy while working independently. Addressing these challenges involves developing strong attention to detail, leveraging organizational tools to track reviewed charts, and maintaining open communication with team leads and colleagues for clarification or support. Regular training on EHR systems and HEDIS measures can also help reviewers stay current and efficient in their work.

What is a HEDIS remote chart reviewer?

A HEDIS Remote Chart Reviewer is a healthcare professional who reviews medical records from a remote location to collect data for the Healthcare Effectiveness Data and Information Set (HEDIS). This data is used by health plans to measure performance on important dimensions of care and service. Reviewers look for specific information in patient charts to ensure health plans meet quality standards and regulatory requirements. The job typically requires experience in medical record abstraction, knowledge of HEDIS measures, and strong attention to detail.

What are the key skills and qualifications needed to thrive as a HEDIS remote chart reviewer?

To thrive as a HEDIS Remote Chart Reviewer, you need a solid understanding of medical terminology, healthcare coding (ICD-10, CPT), and HEDIS measures, often supported by a clinical background such as nursing or health information management. Proficiency with electronic medical records (EMRs), chart abstraction tools, and secure remote work platforms is typical, and experience with HEDIS-specific software is highly valued. Attention to detail, time management, and strong written communication are crucial soft skills for ensuring accurate data extraction and reporting. These competencies ensure high-quality, compliant chart reviews that contribute to healthcare quality initiatives and regulatory reporting.

What is the difference between Hedis Remote Chart Review vs Medical Records Reviewer?

AspectHedis Remote Chart ReviewMedical Records Reviewer
CredentialsTypically requires nursing or healthcare-related certificationsOften requires medical or healthcare background, certifications vary
Work EnvironmentRemote, independent review of patient chartsRemote or onsite review of medical records
Industry UsageUsed mainly in healthcare quality and compliance programsUsed across healthcare, insurance, and legal sectors

Hedis Remote Chart Review and Medical Records Reviewer roles both involve reviewing medical records remotely, often requiring healthcare certifications. However, Hedis reviews focus specifically on healthcare quality metrics for Medicaid and Medicare, while Medical Records Reviewers may work in broader contexts like insurance claims or legal cases. Both roles demand attention to detail and healthcare knowledge, but Hedis reviews are more specialized in compliance and quality measurement.

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What job categories do people searching Hedis Remote Chart Review jobs in Indiana look for? The top searched job categories for Hedis Remote Chart Review jobs in Indiana are:
What cities in Indiana are hiring for Hedis Remote Chart Review jobs? Cities in Indiana with the most Hedis Remote Chart Review job openings:
Hedis Remote Chart Review jobs near you

Certified Medical Assistant - Clinical Quality Specialist

SIHO HOLDING INC

Indianapolis, IN • On-site, Remote

$35 - $46.50/hr

Other

Re-posted 15 days ago

Job description

Job Title: CMA - Clinical Quality Specialist 

Reports to: Director, Medical Management 
**Not open to remote, qualified candidates must reside in Indianapolis, IN

The Clinical Quality Specialist supports the Clinical Quality Nurse in overseeing the HEDIS quality collection, submission, reporting, and auditing as well as assists with education to support the MyTruAdvantage line of business. 

Key Responsibilities: 

  • Knowledge of current HEDIS guidance, hybrid measure reporting, and measure compliance requirements.  

  • Collaborate with Clinical Quality Nurse and internal data analyst to oversee HEDIS quality gap distribution to health partners and member providers for HEDIS clinical data collection. 

  • Participate in communication with health partners regarding process of clinical document submission, annual education on applicable HEDIS measures, and cadence of reporting.  

  • Help identify opportunities for improved or expanded HEDIS data collection.  

  • Participate in internal chart chasing efforts.  

  • Assure proper internal secure storage of HEDIS data collected from external providers. 

  • Participate in Medical Record Review clinical submissions processes, assuring accuracy and completeness. 

  • Support outreach efforts to external providers to collect clinicals needed for reporting. 

  • Assist with maintaining all HEDIS related guidelines, policy & procedures, and auditing documents necessary for successful annual HEDIS audits. 

  • Active participant in any external HEDIS audits performed as needed.  

  • Support internal Chronic Care Improvement Program initiatives as needed. 

  • Participate in internal or external process improvement efforts that support the quality improvement and collection efforts necessary for the Medicare Advantage or commercial lines of business. (Accurate provider attributions, training of health partners, training of new internal staff etc.) 

Minimum Skills Requirement:

  • CMA or experience in clinical documentation review preferred.

  • Experience in working for or with HEDIS data collection and reporting preferred.

  • Proficiency in Microsoft Office Suite (Outlook, Word, Excel, PowerPoint).

  • Experience with electronic medical records and using online tools.

  • Ability to communicate professionally with physicians and office staff to facilitate organizational initiatives.

  • Willingness to obtain applicable HEDIS certifications deemed appropriate for position.

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