HEDIS Reviewer

5 days ago

Remote, Oregon, United States MedViewHealth Full time $60,000 - $100,000 per year

Employment Type: Contract—1099 Independent Contractor (Temporary Project Assignment)

Project Duration: January 5, 2026 – May 2026

MedViewHealth is seeking experienced RNs and LPNs/LVNs to join our team for the 2026 HEDIS season. This fully remote contract role involves conducting medical record reviews, data abstraction, and quality validation according to NCQA Technical Specifications.

Schedule

  • Required availability 40 hours per week (Monday–Friday, standard business hours)
  • Specific start times determined by team leads
  • Evening and weekend work not permitted
  • Hours may vary based on project needs

Nurses will be assigned to the following roles according to client needs:

  • HEDIS Abstractor: Performs detailed medical record reviews from provider offices, hospitals, and health plan systems to determine compliance with HEDIS Hybrid measures.
  • HEDIS Researcher: Uses claims systems, provider databases (e.g., NPI registry), immunization registries, and EMRs to locate provider- or member-specific data for HEDIS measure completion.
  • HEDIS Over‐Reader: Validates abstraction accuracy and ensures adherence to NCQA Technical Specifications. Extensive abstraction experience required; serves as final quality reviewer prior to submission.

Requirements

  • Active RN or LPN/LVN license in good standing (any state)
  • Minimum 2 years of recent HEDIS review experience (within the past 2 years)
  • Must complete HEDIS Knowledge Assessment and Computer Skills Competency Test
  • Attend all required HEDIS trainings
  • Strong attention to detail with proven accuracy and productivity performance.

Performance Expectations

  • Must achieve 100% accuracy on Inter-Rater Reliability (IRR) testing prior to release to full production.
  • Maintain a minimum of 95% accuracy in quality performance throughout the project.
  • Attend weekly meetings with HEDIS Leads and Program Managers
  • Consistently meet or exceed daily and weekly productivity targets as established by client management.

Computer Proficiency

  • Using and setting up applications on a company-issued laptop, while navigating and working across multiple systems.
  • Proficient in Microsoft Outlook, Teams and Excel (filtering, copy cells, delete/add rows, navigate between worksheets, rename and save worksheet, merge cells)
  • Ability to learn and navigate client-specific data entry and abstraction systems
  • Resolve minor technical issues independently.

Technology & Equipment

  • Client issued laptop provided for project use: Must provide a personal address to receive the company-issued laptop in December before the project begins.
  • Contractor must supply a secure, high-speed internet connection that meets:
  • Approved Providers: Cable (AT&T, Charter, Comcast, Spectrum, Verizon FIOS)
  • Not Approved: Satellite, Wi-Fi, hotspots, cellular-based connections, or line-of-sight internet
  • Minimum Speeds: 5 Mbps upload / 5 Mbps download (20 Mbps recommended)

Employment Type: This is a temporary, 1099 independent contractor role. This is not a benefits-eligible employment position, and contractors are responsible for managing their own taxes and insurance.

Join our experienced HEDIS team to support data accuracy and quality improvement efforts for the 2026 HEDIS season.

About MedViewHealth:

MedViewHealth is a medical research company focusing on medical record review/abstraction, retrieval and research database design. Our clients are major health plans and research companies across the US.

Job Types: Contract, Temporary

Work Location: Remote

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