- Remote, United States
- Remote
- Full-time · Associate
- $62K–$89K per year
- 2+ years
The Quality Performance Specialist plays a key role in supporting HEDIS and quality reporting initiatives, ensuring accuracy, completeness, and compliance of medical record abstraction and data validation processes.
Compensation
$61,500 - $89,000
Responsibilities
- Performs medical record abstraction and data entry for NCQA HEDIS® and other medical record–based regulatory audits.
- Achieves and maintains an inter-rater reliability (IRR) score of ≥90% on required annual testing.
- Conducts medical record overreads to ensure accuracy, consistency, and compliance with technical specifications.
- Access, navigate and abstract medical records across a wide variety of provider EMR systems (e.g., EPIC, Allscripts, Cerner).
- Cultivates strong, professional relationships with provider partners to ensure timely and accurate medical record retrieval.
Requirements
- Bachelor’s degree in healthcare administration
- Nursing
- Public Health
- equivalent combination of education and experience
- Nice to have: quality reporting