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Abstractor, HEDIS /Quality Improvement (Remote)

Remote · Sweden Full-time

Job PostingMolina'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.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.Required Education :High School Diploma or equivalencyRequired Experience / Knowledge, Skills & Abilities :3 years experience in healthcareBasic knowledge and understanding of HEDIS projectsPreferred Education :Bachelor's DegreePreferred Experience :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 NCQAPreferred License, Certification, Association :Active RN license for the State(s) of employmentState Specific Requirements :Physical Demands :Working environment is generally favorable and lighting and temperature are adequate.Work is generally performed in an office environment in which there is only minimal exposure to unpleasant and / or hazardous working conditions.Must have the ability to sit for long periods.Reasonable accommodations may be made to enable individuals with disabilities to perform the essential function.Molina Healthcare offers a competitive benefits and compensation package.Molina Healthcare is an Equal Opportunity Employer (EOE) M / F / D / V.Pay Range :$22.81 - $46.42 / HOURLY Actual compensation may vary from posting based on geographic location, work experience, education and / or skill level.. Experience: 3 years required

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