- Commonwealth Care Alliance (Boston, MA)
- …the HEDIS Abstraction & Review Specialist will support quality controls for the HEDIS Medical Record Review . HEDIS ratings are one tool ... record data abstraction findings in the CCA HEDIS medical record data management...record /chart review experience required + Electronic Medical Records (EMR) experience **Desired Experience (nice… 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)
- …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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- Medical Mutual of Ohio (OH)
- …which is in the area of billing and coding, medical records , quality assurance, or utilization review .** **Professional Certification(s):** **.** ** ... **_The Medical Record Retrieval Specialist position allows...the area of billing and coding, medical records , quality assurance or utilization review , at… 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
- CVS Health (Phoenix, AZ)
- …of the time. The QM Nurse Consultant is a work at home role. Experienced HEDIS record review nurse will be responsible for obtaining, reviewing, abstracting, ... and data entering medical records utilized for HEDIS ...obtain, review , abstract, and data enter all medical record data for large groups/groups that… more
- Robert Half Office Team (Minneapolis, MN)
- …* Conduct provider outreach, both by telephone and in writing, to confirm medical record requests and maintain accurate documentation. * Manage and update ... Review Operations, you will be working on HEDIS data collection efforts, managing data within Excel spreadsheets,...functions as needed. * Request and follow up on medical records within database tools. * Conduct… more