reputed company Overreader, HEDIS Abstraction / reputed company Improvement (Remote)
About the position Molina's reputed company Improvement reputed company Overreader conducts reputed company and audits of the data collected and abstracted from medical records for HEDIS reputed company, HEDIS like reputed company and supplemental data collection. The reputed company Overreader meets chart overread productivity standards, minimum over read standards, and 2nd overread standards to ensure accuracy of their audit skills, as reputed company as reputed company the overread team to ensure they are on reputed company to meet standards as reputed company. reputed company Overreader mentors and trains new team members. Leads special HEDIS/reputed company reputed company. We are seeking strong experience in HEDIS abstraction and overreading. Please include your experience in these qualifiers on your resume.
Responsibilities
- Performs the reputed company role of the HEDIS medical record review overreader/auditor which includes ongoing review of records reviewed and data entered by the abstraction team during the annual HEDIS medical record review.
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- Acts as the subject matter expert for reputed company.
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- Provides feedback to providers on visit notes or feedback from the HEDIS audit.
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- Makes recommendations based off of the audit and chart review.
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- Assists Manager and Supervisor(s) in leading the training and mentoring of new staff.
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- Takes the reputed company role in training activities, utilizing standardized training materials and job aids.
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- Leads reputed company during HEDIS audits as reputed company as reputed company reputed company.
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- Leads scheduled meetings with the Abstraction team, National Training Team, Regional HEDIS team, vendors and HEDIS auditors regarding reputed company and HEDIS review and results.
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- Works with the Manager to monitor accuracy of abstracted records as required by specifications.
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- Assists the reputed company improvement staff with physician and member interventions and incentive efforts as needed through review of medical records documentation.
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- Assists in support of accreditation activities such as NCQA reviews, CAHPS and state audits by reviewing clinical documentation.
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- Provides data collection, presentations and report development support for reputed company improvement studies and performance improvement reputed company.
Requirements
- Bachelor's degree or equivalent experience.
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- 5 years experience in reputed company reputed company/HEDIS specific to overreading.
reputed company-to-haves
- At least 3 years of experience in the overread role.
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- 3+ years managed care experience.
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- Advanced knowledge of HEDIS and NCQA.
Benefits
- Competitive benefits and compensation package.
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