- Molina Healthcare (TX)
- …includes ongoing review of records submitted by providers and the annual HEDIS medical record review . + Participates in meetings with vendors ... Improvement Sr. Abstractor conducts data collection and abstraction of medical records for HEDIS projects,...Duties** + Performs the coordination and preparation of the HEDIS medical record review… more
- Centers Plan for Healthy Living (Garden City, NY)
- …Reviewer is responsible for supporting the overall direction, coordination and implementation of the HEDIS Medical Record Review process for Centers Plan ... Specialist(s) as indicated by HEDIS measures. + Review assigned medical records in...of data collection, medical record review , and data extraction. NCQA and HEDIS … more
- US Tech Solutions (May, OK)
- …the screenings. * Search for relevant HEDIS records from databases, review medical records using HEDIS technical specification criteria or ... collection, and review of medical records to abstract clinical information for HEDIS ...offices as needed to schedule/confirm appointments, follow up on medical record submission, and provide patient rosters… more
- Actalent (Austin, TX)
- …vendor-delegated abstraction activities and compare results to HEDIS standards and/or custom * Review medical records and abstract data for HEDIS and ... and vendors Additional Skills & Qualifications * Recent experience with HEDIS , NCQA, Quality Initiatives/Standards. * Previous HEDIS abstraction/overread… more
- Molina Healthcare (Ypsilanti, MI)
- …which includes ongoing review of records submitted by providers and the annual HEDIS medical record review . The Senior Specialist will be asked ... lead role in the coordination and preparation of the HEDIS medical record review...and member interventions and incentive efforts as needed through review of medical records documentation.… more
- Molina Healthcare (WI)
- …data. + 4+ Years of experience in Analysis related to HEDIS rate tracking, Medical Record Review tracking, Interventions tracking for at least one line ... rate tracking and supplemental data impact reporting. + Develop Medical Record Review project reporting...Analysis and reporting related to Managed care data like Medical Claims, Pharmacy, Lab and HEDIS rates.… more
- Health First (Rockledge, FL)
- …** *Stewardship: * * Accurately review , abstract, data enter and overread HEDIS data from qualified medical records per established guidelines and ... reduction and other areas as assigned. * Perform continuing medical record evaluation and follow-up education as...variations in data and processes. * Ability to evaluate medical records and data with attention to… more
- Providence (OR)
- …Effectiveness and Data Information Set ( HEDIS ) program + Conduct Audits inclusive of review of outpatient medical records , hospital records , clinical ... 3+ years' experience with extracting clinical data points from medical records + 3+ years' experience with... medical knowledge/terminology in a medical record + 2+ years of HEDIS experience… more
- CVS Health (Kansas City, MO)
- …and affordable. **Position Summary** The Healthcare Effectiveness Data and Information Set ( HEDIS ) is one of the most widely used healthcare quality data sets ... in the country. HEDIS calculates how health care organizations perform on various...regular, timely feedback as well as the formal performance review process to ensure high-quality deliverables and ongoing colleague/team… more
- Robert Half Accountemps (Houston, TX)
- …offers a short-term contract employment opportunity. Responsibilities: * Assist in medical records review to identify Star/ HEDIS opportunities for the ... coding practices. * Navigate multiple documentation systems and obtain medical record sections supportive of HEDIS...HEDIS /Star measures. * Support quality initiatives by requesting medical records from providers' offices as needed.… more
- Providence (WA)
- …and Data Information Set ( HEDIS ) program + Conduct Audits, which include review of outpatient medical records , hospital records , clinical ... **Providence Health Plan is calling a Clinical Nurse Auditor, HEDIS who will:** + Be responsible for conducting clinical...prior to performing chart abstractions + Maintain all collected records in a confidential manner + Perform all duties… more
- Robert Half Accountemps (Minneapolis, MN)
- …and performs follow up of requests within database tools - Performs medical record reviews for risk adjustment, HEDIS (R) and HEDIS (R)-like measures via ... will assist in the collection, validation, and reporting of HEDIS measures during the seasonal review period....Performs provider outreach, verifying and confirming provider demographics & medical record requests, both by telephone and… more
- Insight Global (Philadelphia, PA)
- …position in PA or NJ. This is a fully remote position and requires previous HEDIS review experience. This person will be responsible for Quality Check of FDC/ ... Workforce Privacy Policy: https://insightglobal.com/workforce-privacy-policy/ . Skills and Requirements Previous HEDIS review experience Active RN License or… more
- Insight Global (Philadelphia, PA)
- …providers Scan/Upload/Download medical records from onsite reviews daily Medical record abstraction into database from onsite visit, assigned remote ... from providers via fax, abstraction & entry of medical records assigned by a Clinical Quality... review experience or experience with Utilization Review , Quality, Medical Record auditing… more
- Molina Healthcare (MI)
- …for key performance measurement activities, including HEDIS , state-based measure reporting and medical record review ). + Collaborates and / or assists in ... QI compliance activities. **Candidates residing in Michigan with SQL, Quality/ HEDIS and Health plan experience are strongly preferred.** **KNOWLEDGE/SKILLS/ABILITIES**… more
- Actalent (Pembroke Pines, FL)
- …Suite proficiency EMR experience Medical terminology OR Medical Record Review OR Medical Coding experience HEDIS knowledge Preferred: HEDIS ... Actalent is Hiring a team of HEDIS Coordinators Responsibilities: + Position Purpose: Perform duties...preferred. Skills: Quality improvement, data, audit, data abstraction, chart review , medical , quality audit, managed care, Medicare… more
- Actalent (Columbia, SC)
- …standards and/or custom or other measure set standards + Review medical records and abstract data for HEDIS and other measure sets in compliance with ... Immediate hiring for "Remote HEDIS Nurses" in US ! Job Description: +...range for this position is $25.00 - $35.00/hr. * Medical , dental & vision * Critical Illness, Accident, and… more
- Actalent (Austin, TX)
- …standards and/or custom or other measure set standards + Review medical records and abstract data for HEDIS and other measure sets in compliance with ... Actalent is currently hiring for Remote HEDIS Nurses (RN/LPN)! Job Description: + Lead data...data collection and abstraction for company quality measures, including HEDIS , CMS, CHIPRA and/or any other custom measurements. +… more
- US Tech Solutions (May, OK)
- …the computer. Participates in the collection and review of medical records to abstract clinical information for HEDIS quality reporting. Training will be ... Job Description: This position interprets relevant clinical criteria through review of medical records , annotates...offices as needed to schedule/confirm appointments, follow up on medical record submission, and provide patient rosters… more
- Actalent (Philadelphia, PA)
- …standards and/or custom or other measure set standards + Review medical records and abstract data for HEDIS and other measure sets in compliance with ... Remote HEDIS LPN Abstractor Description: Position Purpose: Lead data...necessary Skills: Quality improvement, data, audit, data abstraction, chart review , medical , quality audit, managed care, Medicare… more