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HEDIS Nurse Abstractor (Remote)

S2Tech
Chesterfield, MO Remote Full Time
POSTED ON 1/7/2025
AVAILABLE BEFORE 3/7/2025

HEDIS Nurse Abstractor

Location: Remote

About Us:

Known for “Delighting the Client” through performance, innovation, and an employee-centric culture, S2Tech is a fast-growing IT consulting company serving clients in over a quarter of the United States. We are widely recognized as a leading provider of both technical and business services in support of Health and Human Services related projects. Feel free to learn more at www.s2tech.com.

Why S2Tech?:

  • Stable privately-owned company with a strong reputation for building long-term client relationships through the delivery of consistent value-based service
  • 25-year history of providing IT and Business services to private customers and government programs throughout the United States
  • Expansive client portfolio and active projects – employees benefit from innovative project exposure and in-house skill development training/courses  
  • Corporate culture that emphasizes the importance of family and promotes healthy work-life balance
  • Offer competitive pay and a range of benefits including:
    • Medical / Dental / Vision Insurance – insurance premium assistance provided
    • Additional Insurance (Life, Disability, etc.)
    • Paid Time Off (Vacation & Sick Leave)
    • 401(k) Retirement Savings Plan & Health Savings Account
    • Various training courses to promote continuous learning
    • Corporate Wellness Program
  • Be part of a company that gives back through its non-profit organization, Fortune Fund, which was launched in 2001. The goal of the Fortune Fund is to close the rural/urban divide by ensuring children in rural communities in India and the United States understand the importance of education & are aware of professional career opportunities allowing them to link their professional & educational goals

Job Overview:

As a Nurse Abstractor, you will conduct chart abstraction for HEDIS (Healthcare Effectiveness Data and Information Set) measures. This includes abstraction, review, and reporting of medical record clinical documentation into a data collection tool to evaluate the quality of care provided to Medicaid members. You will play a critical role in ensuring timely and accurate abstraction that will be used to evaluate Medicaid program quality.

Responsibilities:

  • Facilitate activities to ensure timely and accurate chart abstraction on patient medical records for a set of eight HEDIS measures, including clinical review, administrative support, and quality assurance
  • Collaborate with the abstraction team to ensure that plans, tasks, and timelines meet contractual and Company requirements and guidelines
  • Provide regular updates to Company management on the activity and/or status of abstraction
  • Participate in activities to ensure high-quality abstraction, including participation in training, weekly clinical review, and overread
  • Communicate directly with healthcare organizations to request follow-up medical record information as needed and ensure timeliness and completeness of medical records

Qualifications:

  • RN or LPN
  • Five years of experience preferred working in direct collaboration with providers, population health or public health, and/or health care quality improvement
  • Experience with chart-based HEDIS measure abstraction
  • Experience with overread processes
  • Familiarity with chart measure request process and health care settings
  • Knowledge of the following healthcare quality principles (preferred)
    • Healthcare services, healthcare organizations, and programs
    • Information management processes, electronic health records, and healthcare information technology
  • Effective communication - both written and verbal
  • Experience working in a virtual environment

S2Tech is committed to hiring and retaining a diverse workforce. We are an equal opportunity employer making decisions without regard to age, race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other protected class.

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