Clinical - Quality Improvement Abstractor Job at Axelon, Oklahoma City, OK

bUFEVStFMWxFRzdCQWNIK01FYnhHN1pWSmc9PQ==
  • Axelon
  • Oklahoma City, OK

Job Description

SLOTS FULL, please Pipeline! ATTENTION: in need of 6 contingent remote workers in the US for HEDIS until Dec 2025 for pursuit and abstraction.

SHIFT: M-F 8-5 CST, NO OT

Duration: 6 months Job Description: Position Purpose: Lead data collection and abstraction for company quality measures, including HEDIS, CMS, CHIPRA and/or any other custom measurements. Education/Experience: Associate's degree in related field or equivalent experience. Bachelor degree preferred. 4+ years of nursing, medical assistant, medical coding or data management experience. Experience in quality initiatives (including HEDIS project, study analysis, or NCQA standards) preferred. Advanced knowledge of Microsoft Applications, including Excel and Access. Licenses/Certifications: Current state's RN or LPN license preferred. Responsibilities: Heavily focused on abstraction. Responsible for collecting medical records by looking through claims and outreaching to providers, handling pends from Vendors, Pulling charts from EMRs. Assess vendor-delegated abstraction activities and compare results to HEDIS standards and/or custom or other measure set standards
  • Review medical records and abstract data for HEDIS and other measure sets in compliance with standards
  • Track and report on issues and outcomes related to abstractions and over-reads
  • Communicate outcomes of abstraction and over-sight activities with health plans and vendors when required
  • Perform other quality initiatives as necessary.
Candidate Requirements Required: 2 or 4 year degree Preferred: Required: LPN, RN or 5 years abstraction Preferred: Axelon

Job Tags

Shift work,

Similar Jobs

Innovative Appliance Repair of Woodland Hills

Live Chat Specialist (Remote) $50/H Job at Innovative Appliance Repair of Woodland Hills

Job Title: Live Chat Specialist (Remote) Job Type: Full-time / Part-time Reports To: Customer Support Manager Job Summary: As a Live Chat Specialist, you will be the first point of contact for customers, providing real-time support through chat platforms. Your... 

Tri-County Community Action Agency

Behavioral Support Specialist Head Start Job at Tri-County Community Action Agency

 ...individual strength based plans in conjunction with the teaching teams, case managers, home visitors, parent/guardian and other staff/consultants as appropriate. Qualifications: A minimum of a Bachelors Degree in psychology, social work, early childhood education or... 

Peyton Resource Group

Computer Numerical Control Machinist Job at Peyton Resource Group

Personal Notes from the hiring manager: MUST be able to set up machines - this is a dealbreaker for this role. You will also be operating the machines as well. Looking for someone with Mill experience, not Lathe. Ideal candidate will have worked on small/micro...

JCPenney

Omnichannel Associate - Victoria Mall (Victoria) Job at JCPenney

 ...Omnichannel, customer service, profit, productivity, and attendance. Core Competencies & Accomplishments To achieve success at JCPenney, associates in this role will possess the following: Work experience- Minimum 1-2 years Education- Bachelor degree or... 

VRC Investigations

Surveillance Investigator Job at VRC Investigations

 ...experienced, self-determined, and highly motivated SURVEILLANCE INVESTIGATORS that would like to join our team of professionals in our...  ...city and state. Opportunities for advancement include Management, SIU Investigations, and other operational positions. The primary...