Abstractor, HEDIS /Quality Improvement (Remote)

Molina Healthcare • Long Beach, AZ

3d • Remote

About The Position

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

Requirements

• High School Diploma or equivalency
• 3 years experience in healthcare
• Basic knowledge and understanding of HEDIS projects

Nice To Haves

• Bachelor’s Degree
• 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
• Active RN license for the State(s) of employment

Responsibilities

• 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 quality and HEDIS review and results.

Benefits

• Molina Healthcare offers a competitive benefits and compensation package.
• Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED
• Number of Employees: 5,001-10,000 employees