Job Description
Role Description
This is a remote position. Seeking a detail-oriented and highly analytical Registered Nurse (RN) to join our team in a HEDIS Abstraction role, supporting critical healthcare quality initiatives across Pennsylvania.
- While the home office is based in Harrisburg, this position is fully virtual and open to candidates located anywhere within the state. This role offers a unique opportunity for experienced RNs who are looking to step away from bedside care and apply their clinical expertise in a focused, data-driven environment that directly influences patient outcomes and healthcare performance.
- Review and abstract clinical data from medical records in accordance with HEDIS measures.
- Analyze documentation related to preventive care, chronic disease management, and behavioral health services.
- Ensure all information is accurately captured and compliant with NCQA guidelines and measure specifications.
- Utilize abstraction tools and electronic medical record systems to document findings.
- Maintain audit readiness and ensure a high level of accuracy.
- Consistently meet deadlines during peak reporting periods.
- Impact healthcare quality scores, reimbursement, and public reporting.
- Collaborate with healthcare providers, health plans, and internal quality teams to resolve discrepancies.
- Manage workflow in a structured remote environment while maintaining performance expectations.
This position is ideal for Registered Nurses seeking greater flexibility, a predictable schedule, and the opportunity to leverage their clinical knowledge in a non-patient-facing role. It provides exposure to healthcare quality improvement, compliance, and population health, helping you build specialized skills that are highly valued across the healthcare industry.
- Qualifications
- Active RN license.
- Strong understanding of medical terminology and clinical documentation.
- Familiarity with coding systems such as ICD-10 and CPT (highly preferred).
- Experience with electronic medical records.
- Detail-driven and organized.
- Comfortable working independently in a fully remote environment.
- Requirements
- Ability to maintain high standards of accuracy and productivity.
Apply tot his job
Apply To this Job