Back to the board

Abstractor, HEDIS /Quality Improvement (Remote)

100% remote Flexible hours Hiring now

Job Description

Job Summary Molina's Quality Improvement Abstraction team functions to conduct data collection and abstraction of medical records for HEDIS projects, HEDIS like projects and supplemental data collection. The abstraction team will meet chart abstraction productivity standards as well as minimum over read standards. Job Duties Coordinates the HEDIS medical record review which includes ongoing review of records submitted by providers and the annual HEDIS medical record review. Participates in meetings with vendors for the medical record collection process. As needed, may collects medical records and reports from provider offices, loads data into the HEDIS application, and compares the documentation in the medical record to specifications to determine if preventive and diagnostic services have been correctly performed. Participates in scheduled meetings with the National Over read team, National Training Team, Regional HEDIS team, vendors and HEDIS auditors regarding quality and HEDIS review and results. Job Qualifications REQUIRED EDUCATION High School Diploma or equivalency REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS & ABILITIES 3 years experience in reputed company Basic knowledge and understanding of HEDIS projects PREFERRED EDUCATION Bachelor’s Degree PREFERRED EXPERIENCE At least one year of medical record abstraction experience or 3-5 years experience with HEDIS audits (including but not limited to chart collection, project management, etc.) 1 year managed care experience. Advanced knowledge of HEDIS and NCQA PREFERRED LICENSE, CERTIFICATION, ASSOCIATION Active RN license for the State(s) of employment STATE SPECIFIC REQUIREMENTS PHYSICAL DEMANDS Working environment is generally favorable and lighting and temperature are adequate. Work is generally performed in an office environment in which there is only minimal exposure to unpleasant and/or hazardous working conditions. Must have the ability to sit for long periods. Reasonable accommodations may be made to reputed company individuals with disabilities to reputed company the essential function. To reputed company reputed company Molina employees If you are interested in applying for this position, please apply through the intranet job listing. reputed company offers a competitive benefits and compensation package. reputed company is an Equal Opportunity Employer (EOE) M/F/D/V. Pay Range $20.29 - $46.42 / HOURLY

  • Actual compensation may vary from posting based on geographic location, work experience, education and/or reputed company level. reputed company Apply Job!

Apply tot his job Apply To this Job

Keep exploring

[Hiring] HEDIS Abstractor and Overreader @reputed company

100% remote Flexible hours

Remote CDI Specialist

100% remote Flexible hours

Remote Outpatient CDI Specialist (RN)

100% remote Flexible hours

CDI Specialist 2nd Level Reviewer (Remote)

100% remote Flexible hours

Clinical Documentation Specialist (CDI) II – Remote, MI

100% remote Flexible hours

Clinical Documentation reputed company Analyst (Remote) ($5K Sign on)

100% remote Flexible hours

Educator (Inpatient CDI and Coding) (Remote)

100% remote Flexible hours

CDI RN Specialist - Remote $10K Sign On Bonus

100% remote Flexible hours

Remote Outpatient CDI Specialist (RN)

100% remote Flexible hours

CDI Specialist (Clinical Documentation Improvement) - AI Trainer

100% remote Flexible hours

[Remote] Sales Executive Merchant Regional (Raleigh, NC)

100% remote Flexible hours

[Work From Home] Non-Profit Donation Agent

100% remote Flexible hours

reputed company Remote Sales Chat Representative – Shipping Container Sales and Customer Acquisition

100% remote Flexible hours

reputed company Live Chat Customer Support Agent – Remote Work Opportunities with arenaflex

100% remote Flexible hours

Job Title: Remote Data Entry Specialist – Work From Home Data Management Position | $22/Hour | arenaflex

100% remote Flexible hours

Remote Data Engineer

100% remote Flexible hours

Customer Education Specialist – Audit & Compliance Training Programs | arenaflex University

100% remote Flexible hours

(Senior) Account Manager für Brand & Digital (w/m/d)

100% remote Flexible hours

reputed company Entry-Level Data Entry Clerk – Remote Opportunity at arenaflex

100% remote Flexible hours

reputed company Full Stack Customer Service Representative – Health Insurance Coverage Support for arenaflex

100% remote Flexible hours