- Molina Healthcare (Orlando, FL)
- …which includes ongoing review of records submitted by providers and the annual HEDIS medical record review . + Leads meetings with vendors for the ... Improvement Lead Abstractor conducts data collection and abstraction of medical records for HEDIS projects,...lead role in the coordination and preparation of the HEDIS medical record review… more
- Molina Healthcare (Orlando, FL)
- …members and assist with ad hoc projects. **Job Duties** + Performs the role of the HEDIS medical record review overreader/auditor which includes ongoing ... and audits of the data collected and abstracted from medical records for HEDIS projects,...data entered by the abstraction team during the annual HEDIS medical record review… more
- Molina Healthcare (St. Petersburg, FL)
- …for supplemental data source (SDS) acquisition from providers as well as Electronic Medical Record (EMR) access. This position would oversee management of ... for the implementation, monitoring, and oversight of all chart collection for HEDIS , or HEDIS -like projects, Risk Adjustment, Risk Adjustment Data Validation,… more
- CenterWell (Tallahassee, FL)
- …the part of clinical teams and operations to address opportunities and close gaps. + Medical record review , retrieval and submissions to health plans to ... improvement best practice initiatives designed to improve Medicare quality measures ( HEDIS ), patient safety and patient experience (CAHPS-HOS). QIP assignment may be… more
- Community Health Systems (Naples, FL)
- …on performance improvement of the UR KPI's. Ensures proper and accurate medical record documentation. **Essential Functions** + Reviews new admissions using ... Primarily responsible for the collection and confirmation of accurate documentation in the Medical Record + Works with healthcare providers to ensure complete… more
- CVS Health (Tallahassee, FL)
- …care of patients with severe, complex, and/or treatment resistant illnesses through peer review and educational interventions. * Work with medical director teams ... focusing on inpatient care management, clinical coverage review , member appeals clinical review , ...multiple stakeholders. * Help achieve or exceed all applicable HEDIS , Stars and local state performance targets and goals… more
- CenterWell (Tallahassee, FL)
- … Medical Coding Professional extracts clinical information from a variety of medical records and assigns appropriate procedural terminology and medical ... and Advanced Practice Providers) to ensure the documentation within medical records supports diagnostic and procedural coding. **Relationship/Concierge… more
- CenterWell (Tallahassee, FL)
- …and Advanced Practice Providers) to ensure the documentation within medical records supports diagnostic and procedural coding. **Relationship/Concierge ... Coding Collaboration:** + Perform Quality Assurance on post-visit reviews. + Review the encounter for potential missed opportunities. + Address nonbillable services… more
- CenterWell (Port Orange, FL)
- …on outpatient medicine, continuity of care, health maintenance, and disease prevention. Keeps a medical history and medical records . Refers the patient to ... of care, health maintenance, and disease prevention. Keeps a medical history and medical records ....displaying a professional and approachable demeanor. . Completes all medical record documentation in a timely manner… more
- CenterWell (Daytona Beach, FL)
- …on outpatient medicine, continuity of care, health maintenance, and disease prevention. Keeps a medical history and medical records . Refers the patient to ... displaying a professional and approachable demeanor. . Completes all medical record documentation in a timely manner...Leadership. . Meets with RMD about quality of care, review of outcome data, policy, procedure and records… more