- 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
- 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 (AZ)
- …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 (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 (Sioux City, IA)
- …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 (PA)
- **Job Description:** + Review and abstract relevant data from medical records to ensure compliance with HEDIS measures, clinical information and ... with Providers and clinical staff to obtain the necessary medical records Conduct quality checks on abstracted...Demonstrated expertise, medical record collection, medical terminology Should have knowledge of HEDIS ,… more
- Actalent (Pearland, TX)
- …Run reports and work with MS Excel. Qualification : + 2+ years of HEDIS work or medical record review experience is Mandatory + Record Review for ... provider offices to request and validate facility and provider addresses, and collect medical records for the HEDIS project. + Perform data entry of change… 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
- AmeriHealth Caritas (Newtown Square, PA)
- …and data sets. + Assist as necessary in the review of medical records . + In collaboration with the HEDIS manager to develop annual HEDIS project ... IT staff. Works closely with the Quality Team and Medical Record Review vendors as...a certified HEDIS software. + Experience reviewing medical records is a plus. **Education/Experience:** +… 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
- Martin's Point Health Care (Portland, ME)
- …extracting clinical information from medical records , and verifying compliance with HEDIS standards. The HEDIS Reviewer and Auditor - Health Plan ... to Work" since 2015. Position Summary Job Description The HEDIS Reviewer and Auditor - Health Plan...(Preferred) Skills/Knowledge/Competencies (Behaviors): + Demonstrated knowledge of data collection, medical record review , and data… 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
- 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
- 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
- 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 (Canton, MA)
- … and validate data from medical records using MS Excel. + Input medical record status into the HEDIS database. + Contact non-responsive providers and ... **Overview:** We are seeking a ** HEDIS Coordinator** to support a large-scale project involving...large-scale project involving the collection and tracking of electronic medical records . The ideal candidate will independently… 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
- Robert Half Office Team (Minneapolis, MN)
- …standards. Responsibilities: * Review and process all incoming files including medical records , invoices, and other miscellaneous documents. * Associate each ... of indexing specialists who are performing indexing of retrieved medical records to the appropriate member/provider combination,... and other documents * Proficiency in using Electronic Medical Record (EMR) systems * Experience in… more
- Molina Healthcare (ID)
- …data. + 5+ Years of experience in Analysis related to HEDIS rate tracking, Medical Record Review tracking, Interventions tracking for at least one line ... + 5+ Years of experience in Statistical Analysis and forecasting of trends in HEDIS rates to provide analytic support for quality, finance, and health plan functions… more