- Molina Healthcare (NM)
- …these qualifiers on your resume.** **Job Duties** + Performs the lead 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 (Buffalo, NY)
- …data. + 3+ Years of experience in Analysis related to HEDIS rate tracking, Medical Record Review tracking, Interventions tracking for at least one line ... rate tracking and supplemental data impact reporting. + Develop Medical Record Review project reporting...Analysis and reporting related to Managed care data like Medical Claims, Pharmacy, Lab and HEDIS rates.… more
- US Tech Solutions (May, OK)
- …the screenings. * Search for relevant HEDIS records from databases, review medical records using HEDIS technical specification criteria or ... collection, and review of medical records to abstract clinical information for HEDIS ...offices as needed to schedule/confirm appointments, follow up on medical record submission, and provide patient rosters… more
- CVS Health (Columbia, SC)
- …designated outreach services - Supports effective medical record capture for HEDIS (R) medical record review and abstraction of supplemental data ... assists in answering questions regarding all facets of the HEDIS (R) process, such as how to submit records...HEDIS (R) gaps in care, digital solutions, and remote medical record collection discussions and education -… more
- LA Care Health Plan (Los Angeles, CA)
- … record information and enters data on HEDIS forms (tool) and over reads medical record review performed by vendors. All received medical ... Job Summary The Healthcare Effectiveness Data and Information Set ( HEDIS ) Abstractor II reviews medical records...records to supervisor for clarification when needed. Overreads record review performed by Medical … more
- AmeriHealth Caritas (Newtown Square, PA)
- …for the enterprise. + Support HEDIS onsite audit. + Facilitates relationship with Medical Record Review (MRR) vendor for all technical aspects of annual ... . ;** This is a remote position. ; Previous experience with full HEDIS Road Map and life cycle, SQL skills and previous management experience.; **Responsibilities:**… 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
- Insight Global (Philadelphia, PA)
- …providers Scan/Upload/Download medical records from onsite reviews daily Medical record abstraction into database from onsite visit, assigned remote ... from providers via fax, abstraction & entry of medical records assigned by a Clinical Quality... review experience or experience with Utilization Review , Quality, Medical Record auditing… more
- NTT DATA North America (IL)
- …Summary: Participates in the collection and review of medical records to abstract clinical information for HEDIS quality reporting. Training will be ... the assignment. This position interprets relevant clinical criteria through review of medical records , annotates...offices as needed to schedule/confirm appointments, follow up on medical record submission, and provide patient rosters… more
- UCLA Health (Los Angeles, CA)
- …including inspections of clinical areas, patient care practices, and administrative processes + Review medical records of services in preparation for health ... Key responsibilities include: + Travel to various clinic sites and schedule and conduct medical record and facility site audits + Conduct thorough facility site… more