- 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 ... more
- Molina Healthcare (WA)
- …these qualifiers on your resume.** **Job Duties** + Performs the lead role of the HEDIS medical record review overreader/auditor which includes ongoing ... 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 ... more
- AmeriHealth Caritas (Philadelphia, PA)
- …and data sets. + Assist as necessary in the review of medical records . + In collaboration with the HEDIS manager to develop annual HEDIS project ... more
- US Tech Solutions (May, OK)
- …the screenings. * Search for relevant HEDIS records from databases, review medical records using HEDIS technical specification criteria or ... 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 ... more
- AmeriHealth Caritas (Newtown Square, PA)
- …for the enterprise. + Support HEDIS onsite audit. + Facilitates relationship with Medical Record Review (MRR) vendor for all technical aspects of annual ... 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/ ... 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 ... 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 ... more
- HCA Healthcare (Austin, TX)
- …detail and accuracy + Working knowledge of electronic medical records , medical terminology, ICD-10, CPT II coding, HEDIS measures, and/or medical ... more
- Premier Medical Group of the Hudson Valley (Poughkeepsie, NY)
- …back to the administrative team. + Assist the Sr. Quality Engagement Specialist with HEDIS /QUARR/CMS Star retro medical records requests for Internal ... more
- ConnextCare (Pulaski, NY)
- …and decision-making skills E. Must demonstrate computer proficiency with electronic medical record system Salary Description $17.00-$21.00 Depending on ... more
- Hackensack Meridian Health (Neptune, NJ)
- …Assists office staff in improving work flows to optimize the use of electronic medical records and clinical data tracking systems, providing for assessment of ... 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 ... more
- VNS Health (Manhattan, NY)
- …+ Leads the clinical audit team, ensuring compliance with Medicare STARS, HEDIS /QARR, and regulatory requirements. + Develops forms, record abstracts, reports, ... more
- Beth Israel Lahey Health (Burlington, MA)
- …DRG audits of all 2nd party payors, DRG, Medical Necessity, ADRs, and HEDIS . Assures record availability, and discusses issues with outside auditors and the ... more
- Community Health Systems (Naples, FL)
- …on performance improvement of the UR KPI's. Ensures proper and accurate medical record documentation. **Essential Functions** + Reviews new admissions using ... more
- Catholic Health Initiatives (Houston, TX)
- …action plans to address the needs and barriers in collaboration with providers. * Performs medical record review or audits as needed. * Document provider, ... more
- Sea Mar Community Health Centers (Aberdeen, WA)
- …Arcadia, One Health Portal, Health Plan Finder, etc., and Proprietary Software for Electronic Medical Records , and Retinal Camera, etc. + The Employee must be ... more