Role Description
This is a remote position. 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.
• Review and abstract clinical data from medical records in accordance with HEDIS measures.
• Analyze documentation related to preventive care, chronic disease management, and behavioral health services.
• Ensure all information is accurately captured and compliant with NCQA guidelines and measure specifications.
• Utilize abstraction tools and electronic medical record systems to document findings.
• Maintain audit readiness and ensure a high level of accuracy.
• Consistently meet deadlines during peak reporting periods.
• Impact healthcare quality scores, reimbursement, and public reporting.
• Collaborate with healthcare providers, health plans, and internal quality teams to resolve discrepancies.
• Manage 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.
Qualifications
• Active RN license.
• Strong understanding of medical terminology and clinical documentation.
• Familiarity with coding systems such as ICD-10 and CPT (highly preferred).
• Experience with electronic medical records.
• Detail-driven and organized.
• Comfortable working independently in a fully remote environment.
Requirements
• Ability to maintain high standards of accuracy and productivity.