Skip to main content
Search Jobs
Search

Let us search jobs for you based on the skills and experience listed in your LinkedIn profile.

Start Matching Jobs

Sr. Abstractor, HEDIS/Quality Improvement

Bothell, Washington Job ID 2000202
Apply Now

Job Description


Job Summary
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.

Knowledge/Skills/Abilities
• 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 collection process.
• 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 performed.
• 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 HEDIS auditors.


Qualifications

Job Qualifications



Required Education
Bachelor's degree or equivalent experience
Required Experience
• Min. 3 years experience in healthcare with minimum 2 years experience in health plan quality improvement, managed care or equivalent experience.
Preferred Experience
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 listing.

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

ABOUT OUR LOCATION

View Map

Job Alerts

Sign up to receive automatic notices when jobs that match your interests are posted.

By uploading your resume you are not submitting an application for employment

Interested InSelect a job category from the list of options. Search for a location and select one from the list of suggestions. Finally, click “Add” to create your job alert.

  • Quality Assurance, Bothell, Washington, United StatesRemove