- Molina Healthcare (Los Angeles, CA)
- …includes ongoing review of records submitted by providers and the annual HEDIS medical record review . + Participates in meetings with vendors ... Improvement Sr. Abstractor conducts data collection and abstraction of medical records for HEDIS projects,...Duties** + Performs the coordination and preparation of the HEDIS medical record review… more
- Centers Plan for Healthy Living (Garden City, NY)
- …Reviewer is responsible for supporting the overall direction, coordination and implementation of the HEDIS Medical Record Review process for Centers Plan ... Specialist(s) as indicated by HEDIS measures. + Review assigned medical records in...of data collection, medical record review , and data extraction. NCQA and HEDIS … more
- Molina Healthcare (CA)
- …includes ongoing review of records submitted by providers and the annual HEDIS medical record review . + Participates in meetings with vendors ... team functions to conduct data collection and abstraction of medical records for HEDIS projects,...based out of California. **Job Duties** + Coordinates the HEDIS medical record review… more
- Centene Corporation (St. Louis, MO)
- …Social Work or related field. Candidate Experience: Required: 1+ year of experience in related HEDIS medical record review or quality improvement with ... of findings in identified databases and ensure accuracy in medical records for data collection, DE and...a managed care environment related to HEDIS record review , quality improvement, medical … more
- Trinity Health (Columbus, OH)
- …with legal counsel to obtain required vendor contracts for HEDIS production software, medical record review and auditor. + Liaison with provider offices ... value-based quality, gain sharing and risk sharing agreements. + Familiarity with electronic medical records systems such as EPIC, including data processing for… more
- Somatus (Mclean, VA)
- …related to the outreach, collection, and accurate data entering of medical records and service data according to HEDIS / Somatus Technical Specifications. ... be to analyze and process the information collected and review the applicable medical records ...Responsibilities + Coordinate, complete, and update management on all HEDIS processes and results. + Work with providers and… more
- Queen's Health System (Honolulu, HI)
- …rules. * Performs a variety of clerical duties involved in maintaining patient medical records including record assembly, scanning, indexing, location, ... file transfer protocol (FTP) sites for quality and payor review of records ( HEDIS /Risk Adjustment/RAC)....diploma or equivalent. B. EXPERIENCE: * Prior experience in Medical Record Department preferred. * Demonstrated ability… more
- Sea Mar Community Health Centers (Vancouver, WA)
- …Arcadia, One Health Portal, Health Plan Finder, etc., and Proprietary Software for Electronic Medical Records , and Retinal Camera, etc. + The Employee must be ... to ensure the collection of all relative clinic forms, quality/ HEDIS measures, lab and x-ray reports and review...record . + Assist with obtaining patient notes and records from hospitals and other doctors' offices. + Maintains… more
- CenterWell (Clermont, FL)
- …in the electronic health record (EHR) and electronic medical record (EMR) systems, including documentation of HEDIS and Stars quality measures + ... provider's schedule to ensure efficient workflow + Obtain and record medical history and vital signs +...+ Hands-on professional Phlebotomy experience + Experience with Electronic Medical Records + Experience in a fast… more
- Highmark Health (Dover, DE)
- …This job works with appropriate departments in the areas of compliance, process improvement, medical record review and coding, and member and provider ... coding. Serves as a resource and educator regarding provider and office staff medical record documentation, federal and state standards including CMS and NCQA… more
- Centene Corporation (Columbia, SC)
- …standards and/or custom or other measure set standards + Review medical records and abstract data for HEDIS and other measure sets in compliance with ... Lead data collection and abstraction for company quality measures, including HEDIS , CMS, CHIPRA and/or any other custom measurements. + Assess vendor-delegated… more
- The Cigna Group (Mobile, AL)
- …review to verify chronic conditions and related symptoms + Support Chart reviews and Pulls medical records for HEDIS + Supports Health Plan with CAHPS and ... manage relationships with participating provider practices. Maintain detailed understanding of HEDIS / STAR/ CAHPS performance measures. Develop and maintain a… more
- Actalent (Charleston, SC)
- … standards and/or custom or other measure set standards * Review medical records and abstract data for HEDIS and other measure sets in compliance with ... *Lead data collection and abstraction for company quality measures, including HEDIS , CMS, CHIPRA and/or any other custom measurements *Assess vendor-delegated… more
- AdventHealth (Altamonte Springs, FL)
- …to the healthcare practice or service; performs or coordinates chart and/or other medical record reviews and records and/or abstracts specific relevant ... to enhance patient compliance and support quality metrics*Maintains and reviews medical records for purposes of identifying, confirming, and/or documenting… more
- CenterWell (Phoenix, AZ)
- …in practice by displaying a professional and approachable demeanor. + Completes all medical record documentation in a timely manner working with a quality- ... accordance with standards of care. + Follows level of medical care and quality for patients and monitors care...Leadership. + Meets with RMD about quality of care, review of outcome data, policy, procedure and records… more
- Commonwealth Care Alliance (Farmington Hills, MI)
- …work with doctor's office on notification, scheduling, and logistics for completing the review . + Conduct on-site review and document all quality information ... from the files reviewed. + Review reports for audit scope. Research and analyze reports...for advancing the mission of the organization. + Conduct EMR/ record searches for audit measures with multiple year look… more
- State of Colorado (Denver, CO)
- Chief Medical Officer (no less than 4 days/week) Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4520696) Apply Chief Medical Officer (no ... the Office may present in the form of utilization review , population management, case or disease management, value based...Description of Job What You'll be Doing: The Chief Medical Officer (CMO) shall, with the assistance of advisory… more
- Universal Health Services (Riverside, CA)
- …care. SUMMARY: Prepare Health Plan required reports, Action plans from audits (CAPs), medical record audits, coordinate annual HEDIS Data Collection, conduct ... relevant QI studies, and coordinate CPPI. Review /respond to grievances and appeals, monthly medication inventory audit,...from audits and access issues. 3. Conduct mandatory annual medical record audits on all RMC practitioners.… more
- VIP Care (Lutz, FL)
- …and loading, check-in, check-out, payment collection, and follow-up actions + Maintain patient medical records in accordance with the Center's policy + Assist ... Care. Better Outcomes. Better Health. Join Our Team! Please review our open positions and apply for the role...terminology + Basic computer skills, including familiarity with electronic medical records . + At least 1 year… more
- CenterWell (Las Vegas, NV)
- … "front office" responsibilities + Experience with HEDIS + Experience with Electronic Medical Records + Previous experience in a geriatric setting + Rad Tech ... examinations, including taking vitals + Recording & updating patient medical histories in electronic medical records...protection. Please be aware that applicants selected for leader review may be asked to provide a social security… more