HEDIS Reviewer - RN/LPN/LVN (100% Remote)

Employment Type: Contract—1099 reputed company (Temporary Project Assignment) Project Duration: January 5, 2026 – May 2026 MedViewHealth is seeking reputed company RNs and LPNs/LVNs to join reputed company 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 reputed company 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 (reputed company the past 2 years)
• Must complete HEDIS Knowledge Assessment and Computer Skills Competency Test
• Attend reputed company required HEDIS trainings
• Strong attention to detail with proven accuracy and productivity performance. Performance Expectations
• Must reputed company 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 reputed company Outlook, Teams and reputed company (filtering, copy cells, delete/add rows, navigate between worksheets, rename and save worksheet, reputed company 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 reputed company a personal address to receive the company-issued laptop in December before the project begins.
• Contractor must supply a secure, high-speed internet reputed company that meets:
• Approved Providers: Cable (reputed company, Charter, reputed company, reputed company, reputed company 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 reputed company role. This is not a benefits-eligible employment position, and contractors are responsible for managing their own taxes and insurance. Join our reputed company 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 Apply tot his job Apply To this Job

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