All roles

Open role

Senior Medical Records Collector (Remote) (,, United States)

Remote · Japan Full-time

Molina's Hedis / Quality Improvement Sr.Medical Records CollectorMolina's HEDIS / Quality Improvement Sr.Medical Records Collector is a team member with several years of experience in working collaboratively with outreach to providers in order to pursue medical records via phone call, fax, mail, electronic medical record system retrieval and direct onsite pick up, for the HEDIS projects.These team members help mentor other team members and take the lead on process and project improvement.These team members act as the subject matter experts in the area of medical record collection / pursuit.Job duties include :Under the direction of the national and / or regional lead, the Medical Records Collector supports the annual HEDIS audit and other HEDIS like audits, by organizing provider outreach, pursuit, collection and upload of provider medical records into the internal database.Subject matter expert in the area of project management / coordination of the identification, pursuit and collection of medical records and other data in collaboration with other HEDIS staff.Assists the Manager and Supervisor(s) and / or performs the coordination and preparation of the HEDIS medical record collection process that includes the pursuit via phone call, fax, mail, electronic medical record system retrieval and direct onsite pick up.Participates and prepared feedback for the vendor meetings in relation to the medical record collection process.Subject matter expert in the area of collecting medical records and reports from provider offices, loads data into the HEDIS application.Assists the manager / lead and quality improvement staff with physician and member interventions and incentive efforts as needed through review of medical records documentation.Job qualifications :High School Diploma or equivalent3seasons / years medical record collection experience.3years managed care experience.Basic knowledge of HEDIS and NCQA.Must have valid driver's license with good driving record and be able to drive within applicable state or locality with reliable transportation.3 years HEDIS data collection experience.Certified Medical Record Technician.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 :$21.16 - $34.88 / HOURLYActual compensation may vary from posting based on geographic location, work experience, education and / or skill level.. Apply To this Job

More open positions

Senior Medical Records Collector - Hybrid (Must reside in San Diego, CA)

Work from home Full-time role

Clinical Documentation Specialist-Remote

Work from home Full-time role

Medical Records Management Testing & Validation Consultant (Part Time, Remote)

Work from home Full-time role

Assistant, Release Of Information - Remote, On-Call (Must live in Oregon or SW WA)

Work from home Full-time role

Medical Records Technician (Austin, TX) 6495

Work from home Full-time role

GRC Analyst - Public Sector

Work from home Full-time role

[Remote] Growth Account Executive (Outbound Sales)

Work from home Full-time role

Senior Software Engineer, Windows/Desktop Applications - Dublin, Ireland

Work from home Full-time role

Technical Project Manager

Work from home Full-time role

Appointment Scheduler (Work From Home)

Work from home Full-time role

Remote Customer Support Associate – Flexible Part‑Time Role with careerzynith, Work‑From‑Anywhere

Work from home Full-time role

Customer Experience Manager – Remote Social Media Support & Retail Operations Leadership at careerzynith

Work from home Full-time role

PRO(HR) business partner associate senior

Work from home Full-time role

Sr. Staff – Kernel / Linux Virtualization Engineer

Work from home Full-time role

Remote Customer Experience Specialist

Work from home Full-time role

Sales Development Representative

Work from home Full-time role

Virtual Care PRN Nurse - Clinical Financial Services

Work from home Full-time role

Remote Customer Service Associate – Flexible Remote Work, $19/hr Base Pay, No Degree Required – Join careerzynith’s Virtual Support Team

Work from home Full-time role

[Remote] Senior Product Manager, Provider UM

Work from home Full-time role

CAPE VERDEAN CREOLE TESTING EVALUATOR

Work from home Full-time role

Financial Planning & Analysis Lead (Coding)

Work from home Full-time role