Sr. Abstractor, HEDIS/Quality Improvement (Hybrid Remote - Inland Empire CA))
Company: Molina Healthcare
Location: San Bernardino
Posted on: November 27, 2022
This hybrid-Remote role will regularly go into Provider offices
around Inland Empire, CA.
Molina's Quality Improvement Sr. 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.
--- Performs the lead role in 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. The Senior Abstractor will be asked to perform duties where
clinical decision-making may be necessary.
--- Participates in meetings with vendors for the medical record
--- Assists Manager and Supervisor(s) in training and takes the
lead role in these activities, utilizing the standardized training
materials and job aids.
--- 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
--- Works with the National Over read team to monitor accuracy of
abstracted records as required by specifications.
--- Participates in scheduled meetings with the National Over read
team, National Training Team, Regional HEDIS team, vendors and
Bachelor's degree or equivalent experience
--- Min. 3 years experience in healthcare with minimum 2 years
experience in health plan quality improvement, managed care or
2 years coding and medical record abstraction experience.
--- 1 year managed care experience.
--- Advanced knowledge of HEDIS and NCQA.
Preferred License, Certification, Association
Active RN license for the State(s) of employment
To all current Molina employees: If you are interested in applying
for this position, please apply through the intranet job
Molina Healthcare offers a competitive benefits and compensation
package. Molina Healthcare is an Equal Opportunity Employer (EOE)
Pay Range: $21.82 - $42.55 an hour*
*Actual compensation may vary from posting based on geographic
location, work experience, education and/or skill level.
Keywords: Molina Healthcare, San Bernardino , Sr. Abstractor, HEDIS/Quality Improvement (Hybrid Remote - Inland Empire CA)), Other , San Bernardino, California
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