HEDIS Reviewer III

Job Title: HEDIS Reviewer III
Location: Remote, RI 02895 (may require occasional onsite visits if needed)
Duration: 3 + Months (Possibilities of Extension)

Pay Rate: $40.97/hr. on W2

Position Type:
Contract (Returners Only) – Must commit to full project duration (January – May)
 
Work Hours: Monday through Friday, 8:00 AM – 5:00 PM (local time)
 
Position Summary:
You will participate in collecting and reviewing medical records to abstract clinical data for HEDIS and CMS quality reporting. Training will be provided before starting. The role involves reviewing medical charts, annotating via Adobe PDF, and entering data into a collection tool, ensuring compliance with regulatory and accreditation standards.
Candidates must be proficient in database use and computer-based work, capable of maintaining accuracy and confidentiality (HIPAA compliance). Work hours may vary, and candidates must inform the employer if accepting other employment during the project.
 
Key Duties:

• Abstract and enter clinical data from medical records daily
• Coordinate with provider offices for appointment scheduling and records submission
• Review assigned medical charts, annotate documentation, and input data accurately
• Prioritize and complete tasks within deadlines while maintaining quality standards
• Identify trends and suggest areas for process improvement
• Maintain confidentiality and security of patient information

 
Experience & Skills Required:

• Minimum 4 seasons’ experience auditing and abstracting medical records
• Medical knowledge and terminology proficiency
• Strong computer skills: Microsoft Word, Excel, email, Adobe Reader
• Ability to save and manage electronic files
• Excellent verbal and written communication skills
• High attention to detail and problem-solving skills
• Good organizational and time management abilities
• Professional demeanor and strong work ethic
• Ability to maintain confidentiality of PHI and comply with HIPAA regulations

 
Candidate Pre-Employment Questionnaire:
Please answer the following and return with your resume:

1. Is the name on your resume your legal name and spelled correctly? If not, please provide the correct name.
2. What is your current full address (including apartment/unit number if applicable)? Please ensure it matches Fieldglass records.
3. Do you have an alternate phone number different from the one on your resume?
4. Are you able to work Monday-Friday, 8 am – 5 pm (local time) from January through May without interruption?
5. Do you have any planned time off or circumstances preventing you from working this schedule during that period?
6. List 3 Microsoft Office Suite programs you have experience with and how many years you have used each.
7. Are you able to connect the healthcare-provided laptop to your home internet modem via an ethernet cable (not Wi-Fi)?
8. Do you have reliable transportation to travel to provider offices if needed?
9. Are you able to carry equipment weighing up to 20 lbs?
10. Once cleared in the hiring process, are you able to provide a professional photo meeting specified guidelines (see attached instructions)?