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Quality Improvement Abstractor
Spectraforce
US
Remote

a day ago

Job Description

Position Title: Quality Improvement Abstractor
Work Location: Remote NC EST – CANDIDATES MUST RESIDE IN NC
Assignment Duration: 3 months with extension

Position Summary:
Walk me through the day to day responsibilities of this the role and a description of the project (Outside of Workday JD):

  • Assist with retrieval of medical records.
  • Works with the HEDIS team to collect member records by contacting providers and placing collected records into database utilized
  • Required to handle a high-volume (40-50 per day) of inbound and outbound calls with provider offices
  • Continued follow up on requested medical records until obtained
  • Excellent documentation of research and contact information
  • Labeling records with appropriate naming convention
  • Loading medical records to abstraction database
Describe the performance expectations/metrics for this individual and their team:
  • TBD, but likely 40 – 50 calls/faxes per day
Education/Certification Required: Associate Degree RN – NC or Compact state license Preferred:
Licensure Required: RN  – NC or Compact state license Preferred:
Years of experience required:
• Minimum 2 years of nursing experience (active RN required)
• At least 1 year of experience in medical record review, quality improvement, or related administrative clinical work, call center
Disqualifiers:
• No active RN license or lapsed/expired license
• Lack of experience with medical record systems or electronic documentation
• Inability to commit to full-time schedule during the contract period
• Limited computer proficiency (unable to navigate Excel or complete required computer testing)
• Refusal or inability to be on camera for required training and testing
Additional qualities to look for:
• Strong organizational skills and attention to detail
• Ability to handle a high-volume workload under tight timelines
• Professional communication and follow-up skills with provider offices
• Reliability and accountability in meeting daily call/fax and documentation expectations
 
  • Top 3 must-have hard skills stack-ranked by importance
1 Medical record retrieval and documentation accuracy (critical for data integrity)
2 Strong computer skills (Excel, medical record software, and ability to pass computer testing)
3 Effective provider communication (handling high call/fax volume with professionalism)

 

 
Applicant Notices & Disclaimers
  • For information on benefits, equal opportunity employment, and location-specific applicant notices, click here
 
At SPECTRAFORCE, we are committed to maintaining a workplace that ensures fair compensation and wage transparency in adherence with all applicable state and local laws. This position’s starting pay is: $ 37.00/hr.

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