About the job
Job Title: HEDIS/STAR Medical Record Abstractor
Job Type: Contract
Schedule: Monday – Friday, 8:00 AM – 5:00 PM
Location: Remote
Pay: $40.00/hourly
Position Overview
We are seeking an experienced HEDIS/STAR Medical Record Abstractor to support our clinical quality operations. This role is responsible for reviewing, abstracting, and validating medical record data in alignment with HEDIS® and STAR program requirements. The ideal candidate will have strong analytical capabilities, excellent communication skills, and the ability to navigate multiple documentation systems with accuracy and efficiency.
Required Qualifications
- Active Registered Nurse (RN) license.
- Associate degree (minimum).
- Two or more years of HEDIS®/STAR experience.
- Three or more years of experience in data analysis and/or quality chart reviews.
- Ability to review data, identify gaps, and provide actionable recommendations.
- Strong written and verbal communication skills.
- Proficiency with Microsoft Office, including Word, Excel, and database applications.
Key Responsibilities
- Review and abstract medical record data into required applications.
- Support chart chase activities by requesting and obtaining necessary records.
- Perform primary source verification of abstracted data for accuracy.
- Conduct over‑reads of completed abstractions/verification.
- Analyze chart data for data integrity and identify gaps or deficits.
- Document findings clearly and provide recommended improvements.
- Deliver education and feedback to abstractors and primary source verifiers.
- Navigate various documentation platforms to retrieve HEDIS/STAR‑relevant medical record components.
- Support communication between market and corporate departments.
- Assist with member outreach efforts as needed within the HAO organization.
- Maintain current knowledge of HEDIS®/STARs standards and guidelines.
- Participate in process improvement initiatives.
- Perform other related duties as assigned.