- ERP International (Camp Pendleton, CA)
- …Paid Vacation, Paid Sick Time, Plus 11 Paid Federal Holidays!** Medical /Dental/Vision, STD/LTD/Life, and Health Savings Account available!** Annual CME Stipend and ... in the TO. - Perform limited administrative duties, which include maintaining statistical records of workload and data entry and analysis of patient outcomes. -… more
- Molina Healthcare (TX)
- …data. * 5+ Years of experience in Analysis related to HEDIS rate tracking, Medical Record Review tracking, Interventions tracking for at least one line ... Quality Reporting team. Designs and develops reporting solutions to assist HEDIS Outbound, Inbound extracts, Data Ingestions, Dashboards, Reports & Extracts for… 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 (Topeka, KS)
- …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
- CVS Health (Austin, TX)
- …designated outreach services + Supports effective medical record capture for HEDIS (R) medical record review and abstraction of supplemental data ... assists in answering questions regarding all facets of the HEDIS (R) process, such as how to submit records...1+ years of Medicare experience and/or 1+ years of HEDIS medical record abstraction experience… 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
- Providence (CA)
- …Effectiveness and Data Information Set ( HEDIS ) program + Conduct Audits inclusive of review of outpatient medical records , hospital records , clinical ... in a medical record . + 2 years - HEDIS , Quality management/quality improvement/utilization review auditing experience, including experience in auditing… more
- MVP Health Care (Rochester, NY)
- …or Registered Nurse preferred + Experience in review of clinical documentation and medical records . + Previous HEDIS Measure subject matter expertise. + ... the review of a wide range of medical records . + Must meet pre-established thresholds...interaction **Your key responsibilities:** + Support annual clinical quality review and medical record abstraction… more
- Actalent (Cleveland, OH)
- … terminology. + Experience with HEDIS and NCQA. + Strong skills in medical record review and data entry. + Experience in healthcare environments ... Job Title: HEDIS Specialist Job Description Support the development and...to support health plans in the clinical aspect of medical record review . Responsibilities +… more
- NTT DATA North America (IL)
- …Summary: Participates in the collection and review of medical records to abstract clinical information for HEDIS quality reporting. Training will be ... the assignment. 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
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …risk adjustment coding and methodology. Strong experience with ICD-9 and/or ICD-10 coding, medical record review and audit, quality assurance of clinical ... Cross and Blue Shield of Minnesota Position Title: Supervisor Medical Records Location: Hybrid | Eagan, Minnesota...supervising the people, daily activities, and deliverables of the Medical Record retrieval team within the Value… more
- Ventura County (Ventura, CA)
- …Senior Medical Management Nurse is responsible for performing utilization review , case management, and quality improvement functions to ensure that members ... years of full-time experience in Case Management, Disease Management, Quality Assurance, HEDIS and/or Utilization Review . NECESSARY SPECIAL REQUIREMENTS + Must… more
- Banner Health (AZ)
- …Department. Coordinates, abstracts, and assists with the analysis of data from medical records in accordance with HEDIS specifications. Actively ... education). POSITION SUMMARY This position coordinates and performs quality medical record reviews of the ambulatory ...to review and extract significant data from medical records is required. Must be knowledgeable… more
- UCLA Health (Los Angeles, CA)
- …including inspections of clinical areas, patient care practices, and administrative processes + Review medical records of services in preparation for health ... include: + Occasional travel to various clinic sites and schedule and conduct medical record and facility site audits + Conduct thorough facility site… more
- The Cigna Group (Bloomfield, CT)
- …roadmap based on analytical needs ** HEDIS & Regulatory Reporting** + Lead HEDIS data collection, hybrid review , and reporting + Interface with external ... projects, transforming traditional Healthcare Effectiveness Data and Information Set ( HEDIS ) measurement/reporting into digitally acquired analytics, and generating insights… more
- Insight Global (Austin, TX)
- …more of the following: CA, IL, NY, MN, MI, OR, NV, AK, CT, HI * Electronic Medical Record (EMR) experience * Experience with handling a high volume of medical ... new program that reviews health risk assessments and supports HEDIS gap closure. In this role, you will conduct...outbound calls. You'll complete a brief historical intake and record any symptoms. You will provide guidance using a… 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 ... community resource needs, etc.** + **Document assessment in the medical record to support transition of care...opportunity compelling, we encourage you to apply for our Medical Assistant Care Coordinator opening. We promptly review… 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 ... a follow-up appointment, community resource needs, etc.** + **Document assessment in the medical record to support transition of care services as specified by… more
- Centene Corporation (Lansing, MI)
- …standards and/or custom or other measure set standards + Review medical records and abstract data for HEDIS and other measure sets in compliance with ... Lead data collection and abstraction for company quality measures, including HEDIS , CMS, CHIPRA and/or any other custom measurements. + Assess vendor-delegated… more
- MVP Health Care (Fishkill, NY)
- …completion of the HEDIS Roadmap, audit coordination, and support for the medical record review project. + Oversee data processes and deliverables ... quality operations. + Possess strong personnel management skills. + Experience with HEDIS , Medicare Stars, and NYSDOH QARR reporting requirements. + Possess strong… more
