Contract
Actalent
Des Moines, IA, USA
Job Title: HEDIS Nurse Consultant Job Description We are seeking a dedicated HEDIS Nurse Consultant to support our annual Healthcare Effectiveness Data and Information Set (HEDIS) reporting. This role involves abstracting medical record data, conducting medical record reviews, and ensuring compliance with HEDIS audit standards. The successful candidate will work remotely to perform claims research, prepare medical records for auditing, and communicate effectively with internal and external stakeholders. Responsibilities Abstract medical record data from practitioner’s files to support annual HEDIS reporting. Conduct medical record reviews to assist in annual reporting and address inquiries from providers and their office staff. Review and abstract 40-50 medical records per day based on NCQA and HEDIS technical specifications. Document information clearly and concisely from patient records into paper or electronic HEDIS applications. Ensure compliance with HEDIS audit...


