HEDIS Abstractor - Medical Assistant
The Judge Group Inc.

Boston, Massachusetts

Location: REMOTE
Judge Healthcare is seeking 5 REMOTE HEDIS Abstractor- Medical Assistant ASAP!

Job Details:

Title: Remote Hedis Abstractor - Medical Assistant

Number of Openings: 5

Location: Remote

Type of Engagement: Contract (6 months)

Rate: Competitive and Dependent on Experience

Specific Duties:

  • Candidate will work with the HEDIS team to collect member records and conduct reviews of these records by contacting providers and placing the results collected into a specific data base.
  • This candidate will be required to handle a high volume of telephonic interaction with provider offices.
  • Candidates must follow up on requested medical records with providers. Must keep excellent documentation of research and contact information.
  • Candidate must pass a medical record abstraction test prior to starting actual record reviews.
  • This is a high production environment and candidates must adhere to measured productivity requirements, module testing and at times retesting to meet minimum requirements.
  • Sharing of department responsibilities as assigned.
  • Must be flexible and willing to develop and share strategies to accomplish goals.
  • Required to perform research on internal claims systems.
  • Work under the supervision of internal staff and designated lead in order to achieve goals and keep the project moving.
  • Reviews require data analysis and research within the data systems.
  • Candidates must have critical thinking skills as they will conduct research in a thoughtful and methodical search in order to locate specific claim information.
  • Research includes all resources provided in order to find best information.
  • Examples of deep dive research would be based on specific platforms (i.e. Immunization registries, local claims system membership and defaulted claim information).
  • Candidates must have excellent skill set to read and interpret physician handwriting.

Must have qualifications/experience:
  • Requires a Medical Assistant certification with an AS (Associate in Science) degree and/or has worked as office manager/ admin to a medical office and or assistant to physician and nurses in reviewing of medical records, applying codes for billing/claims, processing files and submitting to insurance or other requested agencies.
  • Must understand medical terminology.
  • Works under the direction of a HEDIS Lead as a crossover position from abstractor to researcher.
  • Candidates must have prior experience with research and either HEDIS measures or auditing data submitted as claims.
  • Candidates must have computer skills and analysis capabilities in order to navigate CPT4 code and ICD9 and ICD10 DX based on HEDIS Technical Specification requirements.
  • Candidates must have an understanding of codes for services based on diagnosis and procedure.
  • They must be research and detail oriented with the tenacity to find claim specific data for a specific measure within a given period of time.
  • Knowledge of Microsoft office is required. Requires effective written, oral, and interpersonal communication skills.
  • Candidates must have basic Excel skills and must have the ability to type 30-40 WPM.
  • Prior HEDIS experience a plus.

  • Regular business hours M-Fri 8-5

Please send your resume to Dominique DeMarco - DDeMarco2@judge.com for immediate consideration.

Thank you for your time and I look forward to hearing from and working with you.


Dominique DeMarco


The Judge Group
Contact: ddemarco2@judge.com

This job and many more are available through The Judge Group. Find us on the web at www.judge.com

Job Alerts

Provide an email, zip code for jobs, and/or job category to subscribe to job alerts. Learn more now.

*By subscribing, you agree to our Terms and Privacy Policy.

More IT jobs

Earth City, Missouri
Posted about 1 hour ago
Newark, New Jersey
Posted about 1 hour ago
Pittsburgh, Pennsylvania
Posted about 1 hour ago
View IT jobs »

New post from our employment blog

Find Your Fit: How to Screen for the Best Company Culture

What are the most important features of a job to you? Salary, benefits, and location probably rank pretty high but what about company culture?...

Read blog post
Share this inclusion job with the community

Click a community link below, and then social share the HEDIS Abstractor - Medical Assistant job.

Disability inclusion jobs logo
Asian inclusion jobs logo
Black inclusion jobs logo
Diversity inclusion jobs logo
LGBTQ inclusion jobs logo
Seniors inclusion jobs logo
Women inclusion jobs logo
Hispanic inclusion jobs logo