HEDIS Medical Record Analyst – Temporary

Cambia Health Solutions

. Retrieve, abstract, and/or over-read medical records to capture required data elements for HEDIS reporting .

Posted 10/8/2026full-timeRemote • United StatesMid-LevelSenior💰 $41 - $48 per hourWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in medical record retrieval and abstraction for HEDIS reporting, with a strong command of EMR/EHR systems and medical terminology. Capable of effective communication and collaboration within a team to ensure quality improvement and compliance with HIPAA regulations.

Highest-signal resume keywords

HEDIS ReportingEMR/EHR SystemsMedical Record AbstractionICD-9 and ICD-10-CM CodingRegistered Nursing License

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Medical Record RetrievalData AbstractionQuality ImprovementClinical DocumentationCoding Conventions

Soft Skills

Interpersonal SkillsProblem-SolvingTeam Collaboration

Tools & Technologies

Microsoft OfficeFACETSHEDIS Database

Certifications & Qualifications

Registered Nursing LicenseCPC CertificationCCS Certification

Industry Keywords

HIPAAClinical ProcessesQuality OversightMedical Terminology

About the role

Key responsibilities & impact

Retrieve, abstract, and/or over-read medical records to capture required data elements for HEDIS reporting
Collect member medical records from EMR/EHR systems
Review electronic medical records for required documentation
Download medical record images to corporate drives
Log receipt of medical record documentation in appropriate software
Pursue records via phone, fax, mail, or direct onsite pickup when needed
Enter pertinent medical record data into the specified HEDIS database to support reporting and Quality Improvement
Over-read records abstracted by other HEDIS Medical Record Analysts
Prepare assigned records for abstraction
Document retrieval progress and findings for each EMR accessed
Communicate professionally with provider offices
Abstract specified clinical data elements for HEDIS reporting
Document abstraction findings using designated paper and/or electronic tools
Communicate additional pursuit strategies to team members according to department policies and procedures

Requirements

What you’ll need

Excellent interpersonal skills and ability to work effectively in a team environment
Demonstrated command of medical terminology, EMR/EHR systems, medical record documentation, and clinical processes
Demonstrated problem-solving ability
Knowledge of Microsoft Office products desirable
Understanding of HIPAA
Knowledge of ICD-9 and ICD-10-CM, CPT, HCPCS, and DRG coding conventions a plus
Knowledge of FACETS a plus
Experience with quality oversight and teaching desired
Prior experience in HEDIS and medical record retrieval and/or abstraction for quality or research projects
Associate degree in Nursing or related field and 3 years of experience in a clinical setting, working with medical records, and/or EMR/EHR systems, or equivalent combination of education and experience
Preferred valid Registered Nursing (RN/LVN/LPN) license, CPC certification, or CCS certification
Must have wired internet connection, not satellite or cellular, with minimum 5 Mb upload and 10 Mb download speeds for work-from-home option
New hires need access to a personal mobile device for MFA setup
Background check required

Benefits

Comp & perks

Work from home options for most roles, subject to wired internet requirements
Competitive salary
Generous benefits are mentioned generally, but this temporary role is explicitly non-benefited
Career growth and development opportunities
Cambia-supported community outreach participation
Employee resource groups
Personal mobile device access for required MFA setup