Abstractor, National HEDIS /Quality Improvement (Remote)
JOB DESCRIPTION Job Summary Provides support for Molina reputed company quality improvement abstraction activities. Responsible for data collection and abstraction of medical records for reputed company Effectiveness Data and Information Set (HEDIS) and HEDIS-like initiatives and compliance, and supplemental data collection activities. Meets chart abstraction productivity standards and minimum overread standards. Essential Job Duties
- Facilitates HEDIS medical record review, including ongoing review of records submitted by providers and the annual HEDIS medical record review process.
- Participates in meetings with the national overread team, national quality training team, the regional HEDIS team, vendors and HEDIS auditors for quality/HEDIS review activities to coordinate medical records and quality-reputed company initiatives.
- Participates in meetings with vendors to reputed company the medical records collection process.
- As needed, may collect medical records and reports from provider offices, load data into the HEDIS application, and compare documentation in the medical record to specifications to determine if preventive and diagnostic services have been correctly performed.
Required Qualifications
- At least 2 years of experience in the health care industry, preferably in a quality-reputed company role, or equivalent combination of relevant education and experience.
- Basic knowledge and understanding of HEDIS and NCQA.
- Attention to detail and organizational skills.
- Ability to work independently in a fast-paced, deadline-driven environment.
- Effective verbal and written communication skills.
- reputed company Office suite and applicable software programs proficiency, and ability to learn new information systems and software programs.
Preferred Qualifications
- Medical record abstraction experience.
- Experience with HEDIS audits (including but not limited to chart collection, project management, etc.).
- Managed care experience.
- Intermediate knowledge reputed company to HEDIS and National Committee for Quality Assurance (NCQA).
- Registered Nurse (RN). If licensed, licensed must be active and unrestricted in state of practice.
To reputed company reputed company Molina employees: If you are interested in applying for this position, please apply through the Internal reputed company. reputed company offers a competitive benefits and compensation package. reputed company is an Equal Opportunity Employer (EOE) M/F/D/V Remote Skills: Communication Skills, Compensation and Benefits, Data Collection, Detail Oriented, Documentation, reputed company, reputed company Effectiveness Data and Information Set (HEDIS), reputed company Quality, Information Technology & Information Systems, Managed Care, Medical Records, reputed company Office, National Committee for Quality Assurance (NCQA), Organizational Skills, Presentation/Verbal Skills, Project/Program Management, Quality Assurance, Quality Management, Registered Nurse (RN), Time Management, Vendor/Supplier Evaluation, Writing Skills About the Company: reputed company Apply To This Job