- Blue Cross Blue Shield of Massachusetts (Hingham, MA)
- …the HEDIS reporting season, the HEDIS Medical Record Specialist will abstract medical records , schedule and conduct site visits to procure ... meet our accreditation and regulatory requirements. Job Responsibilities: The HEDIS Medical Record Specialist...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 used to ... sites and facilities to request member medical records , retrieve the relevant medical record... record data abstraction findings in the CCA HEDIS medical record data management… more
- Actalent (Pearland, TX)
- …+ Call provider offices to request and validate facility and provider addresses, and collect medical records for the HEDIS project. + Perform data entry of ... Immediate hiring for "Quality Improvement Specialist " in Texas ! *Must be located in...with MS Excel. Qualification : + 2+ years of HEDIS work or medical record … more
- Actalent (Pearland, TX)
- …for calling provider offices to request and validate facility and provider addresses, collecting medical records for the HEDIS project, and performing data ... request and validate facility and provider addresses, and collect medical records for the HEDIS ...work with MS Excel. Essential Skills + 2 years medical record experience. + Experience performing outreach… more
- Medical Mutual of Ohio (OH)
- **_The Medical Record Retrieval Specialist position allows you the flexibility to work at home as long as you reside within a 50-mile radius of a local ... our members achieve their best possible health and quality of life. **Responsibilities** ** Medical Record Retrieval Specialist ** Supports the company's risk… more
- Medical Mutual of Ohio (OH)
- …projects by collaborating with vendors and provider offices/facilities to retrieve medical records . Supports other initiatives related to Risk Adjustment ... in effort to maximize successful chart retrieval projects. Retrieves medical records from a variety of systems...of systems including, but not limited to, provider Electronic Medical Record (EMR) systems (ie EPIC). Maintains… more
- US Tech Solutions (Canton, MA)
- **Job Summary:** The Medical Claims Research Specialist supports the HEDIS (Healthcare Effectiveness Data and Information Set) reporting period by reviewing ... medical claims, identifying appropriate medical ...medical terminology and provider specialties. + Experience with medical claims systems or HEDIS processes. +… more
- Beth Israel Lahey Health (Wakefield, MA)
- …member of the care team to ensure excellent customer service Knowledge of electronic medical records ; eClinical Works, Athena, WebOMR, Arcadia or Epic a plus. ... the supervision of the Quality Manager, the Senior Population Health Specialist (PHS) supports collaboration, communication and care coordination with all members… more
- Centene Corporation (Tallahassee, FL)
- …of QI initiatives including but not limited to: access and availability studies, HEDIS abstraction forms, medical records /site reviews, member and physician ... data reporting needs, and project management. + Manage the HEDIS project to include assignment of nurses, adherence to...by applicable law. Qualified applicants with arrest or conviction records will be considered in accordance with the LA… more
- Molina Healthcare (AZ)
- …mortalities. * Organizes and manages quality monitoring activities, including audits of medical record quality, services and service sites, health and safety, ... quality management compliance activities. Please make sure to include any healthcare/ HEDIS /quality metric experience on your resume. We are moving quickly to… more
- Beth Israel Lahey Health (Wakefield, MA)
- …for identified patient populations. 5. Extracts data from Optum and practice electronic medical record to support LCPN reporting and monitoring of quality ... improvement initiatives such as LEAN or Six Sigma a plus + Knowledge of electronic medical records ; eClinical Works, Athena, GE Centricity or Epic a plus **As a… more
- VNS Health (Manhattan, NY)
- …related to performance improvement, measurement and documentation. + Performs audits on medical records and provide counseling/guidance to PCPs on VNS Health ... specialist to address non-adherence and/or clinical diagnosis for HEDIS /QARR exclusion. + Participates and leads improvement teams and... Medical Record Documentation Standards. + Conducts audits… more
- Molina Healthcare (AZ)
- **Molina Healthcare of Arizona** is hiring for a **Housing Specialist ** in the greater **Phoenix /Maricopa County** area. This role will be a combination of ... member into the community. + Maintains accurate daily log records , monthly outcome reports, and files for each client....: Must have valid driver's license with good driving record and be able to drive within applicable state… more
- UCLA Health (Los Angeles, CA)
- …and risk adjustment teams associated with the health plan. You will: + Conduct medical record audits for physicians (MD, DO, or NP) to ensure documentation ... Description As the Clinical Documentation Integrity Specialist - Medicare Advantage Risk Adjustment, you will...related to chronic conditions + Analyze coding patterns within medical groups. + Provide customized education and updating educational… more
- Stanford Health Care (Redwood City, CA)
- …is a Stanford Health Care job.** **A Brief Overview** The Quality Specialist is responsible for coordinating, monitoring, and improving clinical care redesign ... skills to influence clinical processes, systems, and outcomes. The Quality Specialist will identify opportunities for unit or service line improvements based… more
- Centene Corporation (Jefferson City, MO)
- …Work or related field. Candidate Experience: Required: 1+ year of experience in related HEDIS medical record review or quality improvement with experience in ... Assurance (NCQA) HEDIS measures. Provides education for HEDIS measures, appropriate medical record ...of findings in identified databases and ensure accuracy in medical records for data collection, DE and… 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 ... Sea Mar's network of services includes more than 90 medical , dental, and behavioral health clinics and a wide...record . + Assist with obtaining patient notes and records from hospitals and other doctors' offices. + Maintains… more
- ChenMed (New Orleans, LA)
- …may include:_** + Maintains the confidentiality of patients' personal information and medical records . + Reviews patients' personal and appointment information ... others + Working knowledge of medical insurance and/or knowledge of electronic medical record EMR systems + Knowledge of ChenMed Medical products,… more
- CenterWell (Savannah, GA)
- …Registered Health Information Technician (RHIT) certification, Certified Electronic Health Records Specialist (CEHRS), Certified Medical Staff ... our caring community and help us put health first** The HIMS/Referral Coordinator ( Medical Records Clerk) assembles and maintains patients' health information in… more
- ChenMed (Miami Gardens, FL)
- …may include:_** + Maintains the confidentiality of patients' personal information and medical records . + Reviews patients' personal and appointment information ... The incumbent in this role checks patients in to and out of the medical clinic and provides basic secretarial and administrative support. He/she reports up to an… more