HEDIS Medical Record Analyst – Temporary

Cambia Health Solutions

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

Posted 10/2/2026full-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, with a strong command of HEDIS reporting, EMR/EHR systems, and medical terminology. Proficient in problem-solving and effective communication within a team environment.

Highest-signal resume keywords

HEDIS ReportingMedical Record AbstractionEMR/EHR SystemsMedical TerminologyHIPAA Compliance

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Medical Record RetrievalICD-9 CodingICD-10-CM CodingCPT CodingHCPCS CodingDRG CodingQuality ImprovementData EntryDocumentation ReviewClinical Processes

Soft Skills

Interpersonal SkillsProblem-SolvingTeam CollaborationEffective Communication

Tools & Technologies

Microsoft OfficeHEDIS DatabaseElectronic Medical RecordsCorporate DrivesDesignated Paper Tools

Certifications & Qualifications

Registered Nursing (RN)Licensed Vocational Nurse (LVN)Licensed Practical Nurse (LPN)Certified Professional Coder (CPC)Certified Coding Specialist (CCS)

Industry Keywords

HEDISMedical RecordsClinical SettingQuality Improvement ProjectsHealthcare Compliance

About the role

Key responsibilities & impact

Retrieve, abstract, and/or over-read medical records to capture required HEDIS reporting data elements
Collect member medical records from EMR/EHR systems
Review electronic medical records for required documentation
Download medical record images to corporate drives
Log receipt and retrieval progress in appropriate software
Pursue records by phone, fax, mail, or direct onsite pickup when needed
Abstract and/or over-read pertinent medical record data and enter it into the specified HEDIS database
Prepare assigned records for medical record abstraction
Communicate effectively and professionally with provider offices
Document abstraction findings using designated paper and electronic tools
Communicate additional pursuit strategies to HEDIS team members
Support HEDIS reporting and Quality Improvement

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
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
One of the following is preferred: valid Registered Nursing (RN/LVN/LPN), CPC, or CCS certification
Ability to meet work-from-home wired internet requirements
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 described generally for Cambia employees, but this temporary role is explicitly non-benefited
Career growth and professional development opportunities
Cambia-supported community outreach programs
Employee resource groups
Personal mobile device access for MFA setup