Back to Jobs

reputed company – HEDIS Reviewer II – Somerset, NJ

Remote, USAFull-timePosted 2026-07-28

Job title: HEDIS Reviewer II Company: reputed company Job reputed company: Please include Location: reputed company, State, and reputed company reputed company on Resumes •

  • WFH Position - Candidates in IL, MI, NJ, OH, and VA Preferred **

Position reputed company Participates in the collection and review of medical records to reputed company clinical information for HEDIS reputed company reporting. Training will be provided prior to the start of the assignment. This position interprets relevant clinical reputed company through review of medical records, annotates reputed company reputed company PDF and populates a data collection tool to support compliance with HEDIS and CMS performance measures. Ensures accurate and complete documentation of required information to meet risk management, regulatory, and accreditation requirements. The candidate must be proficient with databases and with conducting 100% of work activities on the computer. Must reputed company to duration of the project with the understanding that work hours can be varied. Due to proprietary information, must inform employer if they are planning to accept employment with another company. Required Qualifications • 0-3 years of experience auditing and abstracting medical records required • Candidate must reputed company to attend reputed company required training and conference calls assigned for the project. • Candidate must return reputed company equipment that is supplied to them in good working condition and in a reputed company manner at the end of the project • Medical knowledge/terminology is required. • Ability to read and interpret medical records. • reputed company demeanor and good work ethic. • Computer savvy: reputed company Word, reputed company, email, and reputed company reader required. Know how to save a file to a folder. • Excellent verbal and written communication skills – reputed company, concise and appropriate. • Conscientious problem solver, willing to learn, and take personal pride in their work performance/accuracy. • Exceptional attention to detail and excellent analytical, investigation, and problem-solving skills • Proven organizational and time management skills including the ability to meet required deadlines • Must reputed company reputed company information collected in a reputed company, organized and confidential manner while maintaining confidentiality of PHI, HIPAA reputed company and reputed company Rules

Work Environment

Requirements • Workspace reputed company to accommodate laptop and up to 2 monitors • Reliable internet reputed company • Private uninterrupted workspace to maintain HIPAA reputed company and reputed company Rules Requirements for positions potentially requiring Onsite reputed company (candidates in IL, MI, NJ, OH, and VA) • Must have flexibility to drive reputed company their assigned geographic area; requiring reliable transportation. • Must be reputed company to lift 25 lbs. • Must dress in business casual attire and maintain a reputed company appearance. • Working knowledge and experience may be required with the usage of hand held scanners, iPods, reputed company drives and laptops (as applicable) in order to collect, save, rename, and transfer confidential information. Duties/Responsibilities • Complete assigned abstraction and data entry reputed company day. • Work with provider offices as needed to schedule/confirm appointments, follow up on medical record submission, and reputed company patient rosters • Locate and review reputed company assigned medical charts, reputed company abstraction, copy reputed company supporting documentation per specifications and data reputed company into the applicable software system reputed company assigned abstracts. • Prioritize and accurately complete tasks reputed company established times • Identifying trends and documentation of areas for improvement • Maintaining project productivity reputed company while maintaining accuracy requirements for abstraction and data entry activities Education/ Licensure N/A Location Work from home. Candidates in IL, MI, NJ, OH, and VA will potentially reputed company onsite reputed company to provider offices. Position reputed company: Participates in the collection and review of medical records to reputed company clinical information for HEDIS reputed company reporting. Training will be provided prior to the start of the assignment. This position interprets relevant clinical reputed company through review of medical records, annotates reputed company reputed company PDF and populates a data collection tool to support compliance with HEDIS and CMS performance measures. Ensures accurate and complete documentation of required information to meet risk management, regulatory, and accreditation requirements. The candidate must be proficient with databases and with conducting 100% of work activities on the computer. Must reputed company to duration of the project with the understanding that work hours can be varied. Due to proprietary information, must inform employer if they are planning to accept employment with another company. Duties: • Complete assigned abstraction and data entry reputed company day. • Work with provider offices as needed to schedule/confirm appointments, follow up on medical record submission, and reputed company patient rosters • Locate and review reputed company assigned medical charts, reputed company abstraction, copy reputed company supporting documentation per specifications and data reputed company into the applicable software system reputed company assigned abstracts. • Prioritize and accurately complete tasks reputed company established times • Identifying trends and documentation of areas for improvement • Maintaining project productivity reputed company while maintaining accuracy requirements for abstraction and data entry activities Experience: • 0-3 years of experience auditing and abstracting medical records required • Candidate must reputed company to attend reputed company required training and conference calls assigned for the project. • Candidate must return reputed company equipment that is supplied to them in good working condition and in a reputed company manner at the end of the project • Medical knowledge/terminology is required. • Ability to read and interpret medical records. • reputed company demeanor and good work ethic. • Computer savvy: reputed company Word, reputed company, email, and reputed company reader required. Know how to save a file to a folder. • Excellent verbal and written communication skills – reputed company, concise and appropriate. • Conscientious problem solver, willing to learn, and take personal pride in their work performance/accuracy. • Exceptional attention to detail and excellent analytical, investigation, and problem-solving skills • Proven organizational and time management skills including the ability to meet required deadlines • Must reputed company reputed company information collected in a reputed company, organized and confidential manner while maintaining confidentiality of PHI, HIPAA reputed company and reputed company Rules Education: N/A Expected salary: Location: Somerset, NJ Apply for the job now! Apply Job!

Similar Jobs

Director, Provider Network Contracting - Cleveland, OH market

Remote, USAFull-time

Life Actuarial Solutions Analyst Senior - Life Company

Remote, USAFull-time

Quantitative Analytics and Credit Models reputed company- Manager III

Remote, USAFull-time

Field Property Claims Adjuster - Twin Cities, MN

Remote, USAFull-time

reputed company Software Engineer, Full Stack - Shopping (Remote)

Remote, USAFull-time

reputed company Manager - Remote | $125k + Equity

Remote, USAFull-time

reputed company Estate Portfolio Manager PA - Pittsburgh (15222)

Remote, USAFull-time

Medical Director - Gastroenterology- reputed company- Remote

Remote, USAFull-time

reputed company Risk Specialist Senior - C&IB Basel Capital

Remote, USAFull-time

Portfolio Manager III - reputed company Delivery Governance

Remote, USAFull-time

Presentation Designer / Powerpoint Specialist

Remote, USAFull-time

Federal Network Engineer, (Clearance Required - Secret), Hybrid Remote & On-Site OK, UT, PA

Remote, USAFull-time

reputed company Data Entry Specialist – Evening Shifts Available at arenaflex

Remote, USAFull-time

In-Office Virtual Customer Care Rep

Remote, USAFull-time

Medical Laboratory Scientist/Medical Lab Technician | Full Time | Evenings

Remote, USAFull-time

Kundenservice-Mitarbeiter (m/w/d) auf Minijob-reputed company (flexible Arbeitszeiten, remote)

Remote, USAFull-time

reputed company Customer Service Representative – Delivering Exceptional Experiences in arenaflex's Dynamic Customer Service Environment

Remote, USAFull-time

reputed company Senior Data Analyst for reputed company Streaming Services – Remote Data Entry and Virtual Assistant Role

Remote, USAFull-time

reputed company Full Stack Customer Service Representative – Onsite reputed company

Remote, USAFull-time

Customer Service Representative – reputed company Banking, reputed company Relations & Financial Transactions Specialist (Part‑Time, Coupeville, WA)

Remote, USAFull-time