HEDIS® Coordinators -Multiple Positions

Medical Record Retrieval: Manage and execute the process of requesting and tracking medical records (paper and Electronic Health Record/EHR) from provider offices and hospitals to support HEDIS® data abstraction. 

Provider & Member Outreach: Conduct professional telephonic outreach to providers to follow up on record requests and, in some cases, contact members to help close gaps in care and improve HEDIS® measure compliance. 

Data Management: Track progress, enter data into abstraction tools, perform preliminary chart reviews, and update databases to ensure the accurate and secure handling of Protected Health Information (PHI). 

Quality Support: Maintain all records and documentation for auditing purposes, ensuring all collected data is compliant with HEDIS®/NCQA standards. 

Team Collaboration: Work closely with HEDIS® Reviewers, Quality Improvement teams, and internal staff to support timely project completion and identify data gaps. 

Experience: Certified Healthcare Record Reviewer (CHRR®) related HEDIS project support or experience in a clinical/managed care setting. 

Technical Proficiency: Strong computer literacy, including proficiency in Microsoft Excel and experience navigating EHR/EMR systems. 

Soft Skills: Excellent organizational skills, attention to detail, and clear written and verbal communication skills for professional provider interaction. 

Education: Certified Healthcare Record Reviewer (CHRR®) or Recent HEDIS® experience. High School Diploma or GED required.