Registered Nurse (RN) – HEDIS Abstraction Specialist (Remote – Pennsylvania)
类别：卫生保健地点：寻求一个详细的，高度分析的注册护士 (RN) 来加入我们的团队在 HEDIS 抽象角色中，支持宾夕法尼亚州各地关键的医疗保健质量倡议。虽然本办公室位于哈里斯堡，但这个职位是完全虚拟的，并向该州任何地方的候选人开放。这份职位为经验丰富的 RNs 提供了一个独特的机会，他们希望远离床边护理，并在直接影响患者结果和健康工作绩效的集中数据驱动环境中应用他们的临床专业知识。在这个角色中，你将负责根据 HEDIS （卫生保健效率数据和信息集）措施审查和抽取医疗记录的临床数据。你将分析与预防护理，慢性疾病管理和行为健康服务有关的文档，确保所有信息都准确捕获并符合 NCQA 指南和测量规范。你的临床判断和细节关注将是解释复杂的医学记录和保证报告数据的完整性的必不可少。你将使用抽象工具和电子医疗记录系统来记录发现，同时满足严格的生产力和质量基准。这包括保持审计准备，确保高水平的精确性，并在报告峰期内始终遵守截止日期。你所执行的工作直接影响卫生保健质量分数，退款和公开报告，使你对患者护理认可和组织成功都做出重要贡献。合作也是这一职位的一个关键组成部分。你将与医疗服务提供者，健康计划和内部质量团队密切合作，以解决差异并在需要时澄清文档。同时，该职位提供了高度的独立性，允许你在结构化远程环境中管理工作流动，同时保持性能预期。这项职位是理想的注册护士寻求更大的灵活性，可预测时间表和机会利用他们的临床知识在非患者面对角色。它为医疗保健质量改善，合规和人口健康提供接触，帮助你建立专业技能，这些技能在整个卫生行业都受到高度重视。合格候选人必须持有活跃的 RN 许可证并拥有强的身份。
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Category: Health Care
Location:
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.
In this role, you will be responsible for reviewing and abstracting clinical data from medical records in accordance with HEDIS (Healthcare Effectiveness Data and Information Set) measures. You will analyze documentation related to preventive care, chronic disease management, and behavioral health services, ensuring all information is accurately captured and compliant with NCQA guidelines and measure specifications. Your clinical judgment and attention to detail will be essential in interpreting complex medical records and ensuring the integrity of reported data.
You will utilize abstraction tools and electronic medical record systems to document findings while meeting strict productivity and quality benchmarks. This includes maintaining audit readiness, ensuring a high level of accuracy, and consistently meeting deadlines during peak reporting periods. The work you perform directly impacts healthcare quality scores, reimbursement, and public reporting, making your contribution vital to both patient care recognition and organizational success.
Collaboration is also a key component of this position. You will work closely with healthcare providers, health plans, and internal quality teams to resolve discrepancies and clarify documentation when needed. Simultaneously, the role offers a high level of independence, allowing you to manage your 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.
Qualified candidates must hold an active RN license and have a strong understanding of medical terminology, clinical documentation, and healthcare data. Experience with electronic medical records and familiarity with coding systems such as ICD-10 and CPT are highly preferred. The ideal candidate is detail-driven, organized, and comfortable working independently in a fully remote environment while maintaining high standards of accuracy and productivity.
DetailsOriginally posted on Himalayas