- Robert Half Accountemps (San Antonio, TX)
- Description We are seeking a quick-thinking and detail-oriented HEDIS Nurse Chart Abstractor who is passionate about healthcare and improving service delivery ... the development of new data processes to improve overall HEDIS measures. Responsibilities: + Review and abstract selected medical records according to specific … more
- Robert Half Office Team (San Antonio, TX)
- …* Handle data entry and collection for specific markets. * Conduct medical record review and abstraction for HEDIS and HEDIS -like measures. * Assist ... after successful completion of training. * Assist in the review of medical records to identify Star/ HEDIS opportunities for the medical staff. * Review … more
- Providence (Beaverton, OR)
- …using objective specifications for the Healthcare Effectiveness and Data Information Set ( HEDIS ) program + Conduct Audits, which include review of outpatient ... or on site in physician practices during the audit season + Successfully complete HEDIS training prior to performing chart abstractions + Maintain all collected… more
- Molina Healthcare (Paducah, KY)
- …Team, Regional HEDIS team, vendors and HEDIS auditors regarding quality and HEDIS review and results. + Mentor entry and Sr. level abstractors. + Works ... **Job Duties** + Performs the lead role in the coordination and preparation of the HEDIS medical record review which includes ongoing review of records… more
- Molina Healthcare (OR)
- … HEDIS team, vendors and HEDIS auditors regarding quality and HEDIS review and results. + Assists with projects and process improvement initiatives ... and supplemental data collection. The abstraction team will meet chart abstraction productivity standards as well as minimum over...Duties** + Performs the coordination and preparation of the HEDIS medical record review which includes ongoing… more
- Actalent (Des Moines, IA)
- …system, Medical record, Rn license, Quality improvement, Managed care, Chart review Top Skills Details: nurse, HEDIS , RN, registered nurse, medical records, ... responds to inquiries from provider, and their office staff, regarding the HEDIS initiative Review and abstract 40-50 medical records per day, based on NCQA and… more
- Health First (Rockledge, FL)
- …state- mandated quality metrics specification, abstraction, data entry, auditing and clinical chart review as well as identifying processes that enhance ... follow-up education as required. ** *Stewardship: * * Accurately review , abstract, data enter and overread HEDIS ...Accurately review , abstract, data enter and overread HEDIS data from qualified medical records per established guidelines… 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
- System One (Baltimore, MD)
- …related medical policies - Proficient Current knowledge of clinical practices related to HEDIS and Medical Record Review - Advanced Strong organizational skills, ... ALTA IT Services is hiring a 6+month contract opportunity for a HEDIS Quality Specialist to support a leading health insurance customer. The individual duties will… more
- Actalent (Chicago, IL)
- Job Title: HEDIS Review SpecialistJob Description - Will be calling out to providers and doctors' offices to retrieve medical information and ask any follow-up ... and provider clean-up. - Will be part of the HEDIS team during the Jan-May season. Review ...cases. A RN or LPN/LVN responsible for annual patient chart inspection/audit. Audits are conducted to ensure that providers… more
- Molina Healthcare (MI)
- …Improvement functions (eg, reporting for key performance measurement activities, including HEDIS , state-based measure reporting and medical record review ). + ... QI compliance activities. **Candidates residing in Michigan with SQL, Quality/ HEDIS and Health plan experience are strongly preferred.** **KNOWLEDGE/SKILLS/ABILITIES**… more
- US Tech Solutions (May, OK)
- **Job Title:** ** HEDIS Reviewer ** **Location: Remote** **Duration: 5+ months contract** **Job Description:** + Participates in the audit/overead of the medical ... medical records is required + Prior experience in performing chart audits is preferred. + Candidate must commit to...or bachelor degree is preferred but not required. Successful HEDIS review experience may be substituted for… more
- Dignity Health (Phoenix, AZ)
- …- Minimum two (2) years experience charting in medical records and/or chart data abstracting experience, preferred. - HEDIS /GPRO experience strongly desired. ... medical records (paper and electronic) to ensure compliance with quality measures like HEDIS . This role involves making outreach calls and texts to assist members in… more
- Adecco US, Inc. (San Antonio, TX)
- …of the Associate Clinical Administrative Coordinator:** **. Assisting in the review of medical records to highlight Star/ HEDIS opportunities for ... with data analysis/quality chart reviews . One or more years of HEDIS /STAR experience or participation with similar quality regulatory reporting. . EMR and … more
- Sanford Health (Worthington, MN)
- …risk score adjustment information for medical chart record requests and potential medical chart review . Manage the chart review process by reviewing ... accuracy, coordinating the record requests with providers or vendors and collaborating with the chart review vendor, if applicable. Review the medical visit… more
- Centene Corporation (Tallahassee, FL)
- …aspects of HEDIS improvement activities, including outreach, incentives, data integrity and chart review + Review and implement new technological tools ... Assurance (NCQA) Accreditation and/or Healthcare Effectiveness Data and Information Set ( HEDIS ) performance ensuring highest level of accreditation + Manage all… more
- The Cigna Group (Nashville, TN)
- …Rely upon independent judgment and decision-making at provider sites, whether conducting chart review or providing training/education, both for historical and/or ... and reports on key program performance metrics for coding initiative + Conduct chart reviews for providers and review provider performance. This is accomplished… more
- Trinity Health (Mishawaka, IN)
- …measure outcomes. **JOB DUTIES** + Coordinates with provider offices to gather data and perform chart review as needed. + Collects data from one or more sources ... outreach to close gaps in care, maintaining member records, chart reviews, and preparation of member mailings to assist...+ Understands and stays up to date with current HEDIS measures. + Performs other duties consistent with purpose… more
- CenterWell (Fort Worth, TX)
- …care and quality for patients and monitors care using available data and chart reviews. Assists in the coordination of patient services, including but not limited ... defined by Clinical Leadership. Meets with RMD about quality of care, review of outcome data, policy, procedure and records issues. Participates in potential… more
- CenterWell (Las Vegas, NV)
- …medical care and quality for patients and monitors care using available data and chart reviews. + Assists in the coordination of patient services, including but not ... Leadership. + Meets with RMD about quality of care, review of outcome data, policy, procedure and records issues....Knowledge of Medicare guidelines and coverage + Knowledge of HEDIS quality indicators + Bilingual is a plus **Use… more