Abstractor, HEDIS /reputed company Improvement (Remote) – reputed company Store

Job reputed company Job reputed company Molina's reputed company Improvement Abstraction team functions to conduct data collection and abstraction of medical records for HEDIS reputed company, HEDIS like reputed company and supplemental data collection. The abstraction team will meet chart abstraction productivity standards as reputed company as minimum over read standards. Job Duties

• 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 reputed company 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 reputed company

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: reputed company RN license for the State(s) of employment STATE SPECIFIC REQUIREMENTS: PHYSICAL DEMANDS: Working environment is generally favorable and reputed company 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. To reputed company reputed company Molina employees: If you are interested in applying for this position, please apply through the intranet job listing. 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 To This Job