Sr. Abstractor, HEDIS/Quality Improvement (Remote in Iowa)
Company: Molina Healthcare
Location: Council Bluffs
Posted on: November 16, 2023
Job Description Job Summary Molina's Quality Improvement Sr.
Abstractor conducts 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. Sr.
Abstractors will also provide mentoring to entry level abstractors.
Job Duties Performs the coordination and preparation of 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. Assists with projects and process
improvement initiatives Mentors entry level Abstractors Job
Qualifications REQUIRED EDUCATION: Bachelor's degree or equivalent
experience REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS & ABILITIES: 3
years experience in healthcare Quality/HEDIS specific to medical
record review and abstraction Intermediate knowledge and
understanding of HEDIS projects PREFERRED EXPERIENCE: At least 3
years of medical record abstraction experience 3 years managed care
experience. Advanced knowledge of HEDIS and NCQA PREFERRED LICENSE,
CERTIFICATION, ASSOCIATION: Active RN license for the State(s) of
employment Pay Range: $21.82 - $42.55 Actual compensation may vary
from posting based on geographic location, work experience,
education and/or skill level. To all current Molina employees: If
you are interested in applying for this position, please apply
through the intranet job listing. Molina Healthcare offers a
competitive benefits and compensation package. Molina Healthcare is
an Equal Opportunity Employer (EOE) M/F/D/V.
Keywords: Molina Healthcare, Council Bluffs , Sr. Abstractor, HEDIS/Quality Improvement (Remote in Iowa), Other , Council Bluffs, Iowa
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