Experienced HEDIS Reviewer II - Remote Healthcare Quality Assurance Specialist for HEDIS and CMS Performance Measures
Join Our Team as a Remote HEDIS Reviewer II and Make a Difference in Healthcare Quality A-Line Staffing Solutions is excited to announce an exceptional opportunity for a highly skilled and detail-oriented HEDIS Reviewer II to join our team on a fully remote basis. As a core member of our healthcare quality assurance team, you will play a vital role in ensuring compliance with HEDIS and CMS performance measures by reviewing medical records, annotating clinical information, and supporting risk management, regulatory, and accreditation requirements. About Our Company and Culture At A-Line Staffing Solutions, we pride ourselves on being a leading provider of top talent to the healthcare industry. Our mission is to deliver exceptional staffing solutions that meet the evolving needs of our clients while fostering a culture of excellence, integrity, and compassion. We value our team members and offer a supportive work environment that encourages growth, learning, and work-life balance. As a remote team member, you will be part of a dynamic and collaborative team that is dedicated to making a positive impact in the healthcare industry. Job Summary We are seeking an experienced HEDIS Reviewer II to join our team on a remote basis. As a HEDIS Reviewer II, you will be responsible for interpreting relevant clinical criteria, reviewing medical records, annotating clinical information via Adobe PDF, and populating a data collection tool to support compliance with HEDIS and CMS performance measures. This is a unique opportunity to work on a critical project that requires attention to detail, strong analytical skills, and excellent communication skills.
Key Responsibilities
Interpret relevant clinical criteria through review of medical records to ensure compliance with HEDIS and CMS performance measures Annotate clinical information via Adobe PDF and populate a data collection tool to support quality reporting Ensure accurate and complete documentation of required information to meet risk management, regulatory, and accreditation requirements Participate in the collection and review of medical records to abstract clinical information for HEDIS quality reporting Collaborate with team members to ensure consistency and accuracy in review processes Adhere to project timelines and deadlines to ensure successful project completion Requirements and Qualifications Essential Qualifications: High School Diploma or GED required 1-3 seasons of experience auditing and abstracting medical records required Proficient with databases and conducting 100% of work activities on the computer Must commit to the duration of the project with the understanding that work hours can be varied Preferred Qualifications: Bachelor's degree in a related field (e.g., healthcare, health information management) Experience working with HEDIS and CMS performance measures Familiarity with quality reporting and risk management principles Excellent analytical, critical thinking, and problem-solving skills Strong communication and interpersonal skills Skills and Competencies To be successful in this role, you will need to possess the following skills and competencies: Attention to detail and ability to accurately annotate clinical information Strong analytical and critical thinking skills to interpret clinical criteria and ensure compliance with HEDIS and CMS performance measures Excellent communication and interpersonal skills to collaborate with team members and stakeholders Ability to work independently and as part of a remote team Proficiency with Adobe PDF and data collection tools Strong organizational and time management skills to meet project deadlines Career Growth Opportunities and Learning Benefits At A-Line Staffing Solutions, we are committed to the growth and development of our team members. As a HEDIS Reviewer II, you will have opportunities to: Develop your skills and expertise in healthcare quality assurance and risk management Work on a critical project that impacts the quality of healthcare services Collaborate with experienced professionals in the healthcare industry Enhance your knowledge of HEDIS and CMS performance measures Build your professional network and connections in the healthcare industry Work Environment and Company Culture As a remote team member, you will have the flexibility to work from home and enjoy a better work-life balance. Our company culture is built on the following values: Excellence: We strive for excellence in everything we do Integrity: We conduct ourselves with integrity and ethics Compassion: We care about our team members and the communities we serve Collaboration: We work together as a team to achieve our goals Compensation, Perks, and Benefits We offer a competitive compensation package that includes: Competitive hourly rate of $30.63 per hour Opportunities for professional growth and development Flexible work arrangements, including remote work options Comprehensive benefits package (details will be provided u