- Centers Plan for Healthy Living (Garden City, NY)
- … is responsible for supporting the overall direction, coordination and implementation of the HEDIS Medical Record Review process for Centers Plan ... HEDIS Reviewer 990 Stewart Ave, Garden...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
- Molina Healthcare (Paducah, KY)
- …which includes ongoing review of records submitted by providers and the annual HEDIS medical record review . + Leads meetings with vendors for the ... Improvement Lead Abstractor conducts data collection and abstraction of medical records for HEDIS projects,...lead role in the coordination and preparation of the HEDIS medical record review… more
- Molina Healthcare (OR)
- …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
- TEKsystems (Santa Barbara, CA)
- Looking for a Hedis Specialist with SPECIFIC experience! Pay: $32-$33/HR Must have: + Previous HEDIS medical record review or auditing of medical ... Compliance Audit * Conduct HEDIS -related research and medical record review * Act...to a folder. Ability to maintain medical record review productivity average 40-60 records… more
- Robert Half Office Team (San Antonio, TX)
- …* Handle data entry and collection for specific markets. * Conduct medical record review and abstraction for HEDIS and HEDIS -like measures. ... The role requires strong skills in data collection and medical record review . It is...training. * Assist in the review of medical records to identify Star/ HEDIS … 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
- Robert Half Accountemps (San Antonio, 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
- 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
- Molina Healthcare (Long Beach, CA)
- …the Manager and Supervisor(s) and/or performs the coordination and preparation of the HEDIS medical record collection process that includes the pursuit ... **Job Description** **Job Summary** Molina's HEDIS /Quality Improvement Sr. Medical Records... records via phone call, fax, mail, electronic medical record system retrieval and direct onsite… 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 (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
- US Tech Solutions (May, OK)
- Job Title: HEDIS Reviewer II Location: Remote Duration:...collection and review of medical records to abstract clinical information for HEDIS ... 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 (Des Moines, IA)
- …practices, and electronic medical record systems. + Ability to review medical records and technical specifications and draw defensible conclusions ... claims research, provider outreach, and create medical record requests. Ensure compliance with HEDIS audit...Review , abstract, and document 40-50 medical records per day based on NCQA and HEDIS… more
- Actalent (Dallas, 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 ... Description: We are seeking a dedicated and meticulous HEDIS Nurse to assist with the collection, analysis,...the collection, analysis, and presentation of healthcare data. The HEDIS Nurse will be responsible for managing all aspects… more
- Providence (Beaverton, OR)
- …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 Office Team (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
- Robert Half Accountemps (San Antonio, TX)
- …of new data processes to improve overall HEDIS measures. Responsibilities: + Review and abstract selected medical records according to specific ... Description We are seeking a quick-thinking and detail-oriented HEDIS Nurse Chart Abstractor who is passionate about...understanding of medical terminology and principles of medical record keeping. + Exceptional attention to… more
- Actalent (Chicago, IL)
- …and provider clean-up. - Will be part of the HEDIS team during the Jan-May season. Review medical records from all 5 states. Abstracting 6 medical ... Job Title: HEDIS Review SpecialistJob Description - Will...care set forth by the insurance company. Experience with medical record review required. Hard… 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