- The Judge Group Inc. (Johnson City, TN)
- …of records at practice group locations and review and abstraction of specific medical record data related to HEDIS hybrid measures. The records ... ironkey, or other electronic means. The data will be entered into a HEDIS software system after complete and accurate review . Qualifications & Requirements:… more
- UCLA Health (Los Angeles, CA)
- …audits, including inspections of clinical areas, patient care practices, and administrative processes Review medical records of services in preparation for ... Key responsibilities include: Travel to various clinic sites and schedule and conduct medical record and facility site audits Conduct thorough facility site… more
- Mount Sinai Medical Center (Hialeah, FL)
- …grows, so does our legacy in high-quality health care. Since 1949, Mount Sinai Medical Center has remained committed to providing access to its diverse community. In ... delivering an unmatched level of clinical expertise, our medical center is committed to recruiting and training top healthcare workers from across the country. We… more
- Gracelight Community Health (Los Angeles, CA)
- …of an ACGME-accredited residency program-we are seeking a dynamic, visionary Chief Medical Officer (CMO) to lead our clinical strategy and ensure excellence across ... impact to shape the future of healthcare delivery in Los Angeles. Summary The Chief Medical Officer (CMO) serves as a key member of the executive leadership team and… more
- Navvis (Corvallis, OR)
- …Strong understanding of HCC coding guidelines and risk adjustment methodologies. Experience in medical record review and auditing. Effective oral, written, ... providers on HCC coding guidelines and best practices. Oversee regular audits of medical records to assess coding accuracy and completeness. Collaborate with… more
- CenterWell Primary Care (Morrow, GA)
- …cooperation in practice by displaying a professional and approachable demeanor. *Completes all medical record documentation in a timely manner working with a ... in accordance with standards of care. *Follows level of medical care and quality for patients and monitors care...Clinical Leadership. *Meets with RMD about quality of care, review of outcome data, policy, procedure and records… more
- Molina Healthcare (TX)
- …which includes ongoing review of records submitted by providers and the annual HEDIS medical record review . + Leads meetings with vendors for the ... Improvement Lead Abstractor conducts data collection and abstraction of medical records for HEDIS projects,...lead role in the coordination and preparation of the HEDIS medical record review… more
- Molina Healthcare (Cincinnati, OH)
- …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,...minimum over read standards. **Job Duties** + Coordinates the HEDIS medical record review… more
- Somatus (Mclean, VA)
- …will be responsible for providing operational support in planning, coordinating, and validating HEDIS , medical record reviews. This role will oversee the ... + Support the HEDIS manager to conduct meetings with operations to review performance. + Collaborate across cross functional teams on initiatives to address care… 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 ...or Vocational Nurse. + 1-3 years experience working in HEDIS or medical records . +… 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
- NTT DATA North America (IL)
- HEDIS Reviewer - State of IL Position Summary:...the collection and review of medical records to abstract clinical information for HEDIS quality ... 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
- AdventHealth (Sebring, FL)
- …Physician Attestation Form (PAF) or Attestation prior to the patients appointment. Perform HEDIS medical record reviews, data collection, chart abstractions, ... reporting, and analysis. Coordinate and perform onsite medical record reviews and medical...record collection at provider offices to support optimum MRA/ HEDIS and quality metric reporting. Identify patients overdue for… more
- Dignity Health (Bakersfield, CA)
- …action plans to address the needs and barriers in collaboration with providers. - Performs medical record review or audits as needed. - Document provider, ... Liaison provides education and acts as a resource for HEDIS measures, appropriate medical record ...work experience of 2 years related HEDIS record collection and measures improvement with analytical review… more
- Hackensack Meridian Health (Tinton Falls, NJ)
- …Commercial, Medicare Advantage, etc. + Experience with relevant systems (eg, electronic medical records , disease registries). + Excellent written and verbal ... Associate's Degree in Nursing. + Familiarity with Utilization Management Criteria, PQRS, HEDIS , Meaningful Use, Patient-Centered Medical Home, or other quality… 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
- Community Health Systems (Naples, FL)
- …on performance improvement of the UR KPI's. Ensures proper and accurate medical record documentation. **Essential Functions** + Reviews new admissions using ... Primarily responsible for the collection and confirmation of accurate documentation in the Medical Record + Works with healthcare providers to ensure complete… more
- Centene Corporation (Carson City, NV)
- …provider offices, if needed._** **_Qualified candidates must have experience with medical record abstraction and overreading for HEDIS , as well as prior ... with quality, service performance and utilization, credentialing reviews and medical record audits. Perform community activities related...events related to quality of care issues. + Audit medical records , review administrative claims… more
- CVS Health (Tallahassee, FL)
- …care of patients with severe, complex, and/or treatment resistant illnesses through peer review and educational interventions. * Work with medical director teams ... focusing on inpatient care management, clinical coverage review , member appeals clinical review , ...multiple stakeholders. * Help achieve or exceed all applicable HEDIS , Stars and local state performance targets and goals… more
- Prime Therapeutics (Lincoln, NE)
- …to support the Centers for Medicare & Medicaid Services (CMS) Star and HEDIS quality measure programs, including but not limited to: Medication Therapy Management ... qualified members' medications and disease states related to the Star and HEDIS quality measures programs and processes. **Responsibilities** + Receive inbound and… more
