- ProKatchers (Bowling Green, NY)
- …and report findings. Additionally, participation in the annual HEDIS and QARR hybrid medical record review project will be required. This role may also ... in the annual HEDIS and QARR hybrid medical record review project: Work...review of charts. Supports temporary staff in the review of medical records (electronic… 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
- Elevance Health (Columbus, OH)
- …to analyze HEDIS results. + Advanced knowledge of HEDIS specifications, medical record review process including the sample and chase creation, and ... to enable HEDIS to measure deep dives and data quality review to improve HEDIS Ratings. **Minimum Requirements:** + Requires a BS/BA degree in a related… more
- Centene Corporation (Springfield, IL)
- …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
- 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
- Actalent (Tigard, OR)
- …10-20 calls a day. Top Skills Details: HEDIS , Medical Record , Quality Improvement, Member Outreach, Medicare, Chart Review , NCQA Additional Skills & ... to collaborate with providers in the field to improve HEDIS measures and provides education for HEDIS ...gaps they have when in the providers office for medical appointments. Schedules doctor appointments on behalf of the… more
- Sea Mar Community Health Centers (Monroe, 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 (Orlando, FL)
- …in the electronic health record (EHR) and electronic medical record (EMR) systems, including documentation of HEDIS and Stars quality measures + ... rooming patients, gathering and inputting information into the electronic medical records system, taking vital signs, administering...provider's schedule to ensure efficient workflow + Obtain and record medical history and vital signs +… 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
- 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
- Elevance Health (West Des Moines, IA)
- …Healthcare Effectiveness Data Information Set ( HEDIS ) improvement action plans, year round medical record review , and over read processes + Monitors and ... of quality management to direct the clinical quality initiatives, including HEDIS and CAHPS quality improvement, NCQA accreditation and compliance with regulatory… more
- Adecco US, Inc. (Queens County, NY)
- …Practitioner (hybrid role) in Long Island, NY is now available through Adecco Medical and Science. In this role, you will report to the Practice Transformation ... IPAs, and other provider groups/ supporting practice workflows, fulfillment of HEDIS and other quality measures, comfortable presenting to physician practices,… more
- Elevance Health (Woodland Hills, CA)
- …Healthcare Effectiveness Data Information Set ( HEDIS ) improvement action plans, year round medical record review , and over read processes. + Monitors and ... of quality management to direct the clinical quality initiatives, including HEDIS and CAHPS quality improvement, NCQA accreditation and compliance with regulatory… 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
- VIP Care (Marietta, GA)
- …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
- 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
- Universal Health Services (Reno, NV)
- …obtain information and clarification of information. Interfaces with other departments, reviews medical records or other pertinent documentation and ensures all ... Operations, the Appeals Specialist is responsible for ensuring the appropriate review , research, processing and responding to written member and provider complaints,… 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
- CenterWell (Las Vegas, NV)
- …limitations or assistance + Experience with HEDIS + Experience with Electronic Medical Records + **Active Medical Assistant Certification or Registration ... patients + Gathering and inputting information into the electronic medical records system + Taking vital signs...protection. Please be aware that applicants selected for leader review may be asked to provide a social security… more
