HEDIS Clerk/Admin

Title: HEDIS Clerk/Admin Work Location: Remote-USA Duration: 6 Months Job Type: Contract Pay Rate: $19.00 - $23.57/Hr Shift time: Days – 8 hours – 40 Hrs/Week Job Overview We are seeking an experienced HEDIS Clerk/Admin to join the medical record review team. This position will work under the supervision of the HEDIS Coordinator and support HEDIS operations by obtaining, organizing, scanning, processing, and maintaining medical record documentation. The ideal candidate will have experience in healthcare administration, medical records, data entry, HEDIS, quality improvement, or health insurance operations, along with strong attention to detail and excellent communication skills. Key Responsibilities · Obtain medical record documentation received through mail and fax and prepare records for scanning and processing. · Scan, organize, label, and accurately file medical record documents according to the appropriate HEDIS measure. · Enter medical record information and update chase/status information using various software applications. · Work closely with the HEDIS Coordinator and Quality Improvement Specialists regarding HEDIS activities, open issues, and review results. · Communicate incoming medical record information to the appropriate team members. · Contact provider offices as needed to follow up on outstanding medical record requests. · Identify and escalate complex issues to the HEDIS Coordinator or Quality Improvement Specialists. · Maintain accurate records and support timely completion of HEDIS activities. · Maintain strict compliance with HIPAA and patient confidentiality requirements. · Perform other administrative and HEDIS-related duties as assigned. Required Qualifications · 7+ years of relevant healthcare, administrative, medical records, or related experience preferred. · High School Diploma or GED required. · Medical Assistant experience is a plus. · Previous experience with HEDIS, medical records, quality improvement, healthcare administration, or health insurance is preferred. · Strong data entry and typing skills. · Proficiency with Microsoft Word and Excel; experience with Lotus Notes is a plus. · Strong attention to detail and ability to maintain accuracy in high-volume environments. · Clear and professional written and verbal communication skills. · Strong customer service skills. · Knowledge of medical terminology preferred. · Ability to handle confidential member and patient information in accordance with HIPAA requirements. Pay: $19.00 - $23.00 per hour Work Location: Remote