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Advantmed

Risk adjustment and quality analytics provider

HEDIS Abstractors / HEDIS Reviewers

Clinical Support & Patient AdministrationConfirmed live in the last 24 hours
Part-timeRemote in USA$20 - $27 /hr

About the Job

Requirements

  • At least 2 years or seasons of prior HEDIS abstraction or review experience in measures such as BPD, CBP, PPC, TRC, WCC, GSD, or COA.
  • Hold a CPC, CCS, RHIT, or RHIA medical coder certification through AAPC or AHIMA, or hold an active LPN, LVN, or RN license.
  • Own a Windows 10/11 laptop, preferably with Windows Professional Edition, and have high-speed internet access and video-call capabilities.
  • Complete required training within the designated timeframe, which may include recorded, self-paced, or live instructor-led sessions.
  • After training, be available between 6:00 a.m. and 6:00 p.m. EST, with a commitment of 4 to 8 hours per day.
  • Work chart reviews without split shifts.

Responsibilities

  • Review medical records and transfer critical HEDIS data elements into a specified data-entry portal to support HEDIS reporting and quality improvement.
  • Enter data into Advantmed proprietary software.
  • Maintain accuracy thresholds set by Advantmed.
  • Comply with HIPAA laws and regulations.
  • Attend self-paced recorded training within the defined timeframe for required measures.

About the Company

Advantmed

Risk adjustment and quality analytics provider

Advantmed provides healthcare solutions focused on risk adjustment and quality improvement for health plans and providers. It helps clients improve risk scores and quality metrics by ensuring complete documentation of patient encounters to support accurate reimbursement and regulatory compliance. Its ELEVATE! Risk Adjustment platform uses analytics to identify patients needing health assessments and retrieves medical records to substantiate diagnoses, with in-home, telehealth, and in-office assessment options. Its goal is to improve health outcomes and revenue integrity by ensuring accurate risk adjustment scores and better quality ratings across Medicare Advantage, Commercial, and Medicaid programs.

Company size
1,001-5,000
Company stage
Not listed
Total funding
Not listed
Headquarters
Santa Ana, CA
Founded
2005

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