- Blue Cross Blue Shield of Massachusetts (Hingham, MA)
- …During the HEDIS reporting season, the HEDIS Medical Record Specialist will abstract medical records , schedule and conduct site visits ... requirements; + Assist with supervision and training of temporary medical record review staff (5-7);...record reviewers with the collection and abstraction of HEDIS medical records + Work… more
- Molina Healthcare (MI)
- …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
- Molina Healthcare (ID)
- …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
- Molina Healthcare (Columbus, OH)
- …includes ongoing review of records submitted by providers and the annual HEDIS medical record review . + Participates in meetings with vendors ... team functions to conduct data collection and abstraction of medical records for HEDIS projects,...minimum over read standards. **Job Duties** + Coordinates the HEDIS medical record review… more
- Molina Healthcare (Columbus, OH)
- …ensure accuracy of their audit skills. **Job Duties** + Performs the role of the HEDIS medical record review overreader/auditor which includes ongoing ... and audits of the data collected and abstracted from medical records for HEDIS projects,...data entered by the abstraction team during the annual HEDIS medical record review… more
- Molina Healthcare (Columbus, OH)
- …special HEDIS /Quality projects. **Job Duties** + Performs the lead role of the HEDIS medical record review overreader/auditor which includes ongoing ... and audits of the data collected and abstracted from medical records for HEDIS projects,...data entered by the abstraction team during the annual HEDIS medical record review… more
- LA Care Health Plan (Los Angeles, CA)
- … record information and enters data on HEDIS forms (tool) and over reads medical record review performed by vendors. All received medical ... Job Summary The Healthcare Effectiveness Data and Information Set ( HEDIS ) Abstractor II reviews medical records...records to supervisor for clarification when needed. Overreads record review performed by Medical … 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 (Columbus, OH)
- …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
- VNS Health (Manhattan, NY)
- …providers and office staff on HEDIS /QARR quality metrics, specifications, and medical record review criteria. + Participates in required trainings. ... retrieval of medical records for review and abstraction pertaining to HEDIS /QARR and...+ Follows up on all outstanding issues found during medical record review . This includes… more
- Centene Corporation (Jefferson City, MO)
- …Social Work or related field. Candidate Experience: Required: 1+ year of experience in related HEDIS medical record review or quality improvement with ... of findings in identified databases and ensure accuracy in medical records for data collection, DE and...a managed care environment related to HEDIS record review , quality improvement, medical … 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
- Molina Healthcare (Columbus, OH)
- …data. + 3+ 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
- CenterWell (Port Arthur, TX)
- …read, write, and speak in both languages** + Experience with Electronic Medical Records software + Experience with HEDIS + Active Medical Assistant ... symptoms and gathering and inputting information into the electronic medical records system, taking vital signs, giving...Alert: Please be aware that applicants selected for leader review may be asked to provide a social security… more
- Elevance Health (Grand Prairie, TX)
- …+ Interfaces with internal and external clients, quality committees, and departments in the review of HEDIS submissions and requirements. + Manages the overall ... HEDIS Compliance Audit Specialist / Manager (JR140903) **Location:**...bonus programs (unless covered by a collective bargaining agreement), medical , dental, vision, short and long term disability benefits,… 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
- Actalent (Santa Barbara, CA)
- …+ Bilingual proficiency in Spanish is preferred but not required + Experience with HEDIS medical record abstraction. + Knowledge of quality improvement ... HPNC may perform various duties such as telephonic or onsite clinical review , care coordination, transition activities, or population health activities. Depending on… more
- Elevance Health (Atlanta, GA)
- **Business Information Consultant Sr ( HEDIS )** **Location:** This position will work a hybrid model (remote & office). The ideal candidate will live within 50 miles ... Health PulsePoint office locations. The **Business Information Consultant Sr ( HEDIS )** is responsible for coordinating and consolidating various impact analyses… more
- HCA Healthcare (Salt Lake City, UT)
- …detail and accuracy + Working knowledge of electronic medical records , medical terminology, ICD-10, CPT II coding, HEDIS measures, and medical office ... and retirement of our colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no cost or for a low… more