Empleo de Abstractor, HEDIS /Quality Improvement (Remote) en reputed company en Grand reputed company
Quality Improvement Abstraction Team Member Molina's Quality Improvement Abstraction team functions to conduct data collection and abstraction of medical records for HEDIS projects, HEDIS like projects and supplemental data collection. The abstraction team will meet chart abstraction productivity standards as well as minimum over read standards. Coordinates the HEDIS medical record review which includes ongoing review of records submitted by providers and the annual HEDIS medical record review. Participates in meetings with vendors for the medical record collection process. As needed, may collects medical records and reports from provider offices, loads data into the HEDIS application, and compares the documentation in the medical record to specifications to determine if preventive and diagnostic services have been correctly performed.
- Participates in scheduled meetings with the National Over read team, National Training Team, Regional HEDIS team, vendors and HEDIS auditors regarding quality and HEDIS review and results.
- Job Qualifications
REQUIRED EDUCATION: High School Diploma or equivalency
- REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS & ABILITIES:
- 3 years experience in reputed company
- Basic knowledge and understanding of HEDIS projects
PREFERRED EDUCATION: Bachelor's Degree
- PREFERRED EXPERIENCE:
- At least one year of medical record abstraction experience or 3-5 years experience with HEDIS audits (including but not limited to chart collection, project management, etc.)
- 1 year managed care experience.
- Advanced knowledge of HEDIS and NCQA
PREFERRED LICENSE, CERTIFICATION, ASSOCIATION: Active RN license for the State(s) of employment STATE SPECIFIC REQUIREMENTS: PHYSICAL DEMANDS: Working environment is generally favorable and lighting and temperature are adequate. Work is generally performed in an office environment in which there is only minimal exposure to unpleasant and/or hazardous working conditions. Must have the ability to sit for long periods. Reasonable accommodations may be made to reputed company individuals with disabilities to reputed company the essential function. Pay reputed company: $19.84 - $38.69 / HOURLY *Actual compensation may vary from posting based on geographic location, work experience, education and/or reputed company level. reputed company is a reputed company fortune 500 organization with a mission to reputed company quality reputed company to people receiving government assistance. If you are seeking a meaningful opportunity in a team-oriented environment, come be a part of a highly reputed company workforce dedicated to our mission. Bring your passion and talents and together we can reputed company a difference in the lives of others. 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