Abstractor, National HEDIS /Quality Improvement (Remote)
JOB DESCRIPTION Job Summary Provides support for Molina enterprise quality improvement abstraction activities. Responsible for data collection and abstraction of medical records for Healthcare 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 Job Board. reputed company offers a competitive benefits and compensation package. reputed company is an Equal Opportunity Employer (EOE) M/F/D/V Apply To This Job Apply tot his job Apply To this Job Apply To This Job
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