Job Description:
Job Tittle: Quality Improvement Abstractor
Location: Remote
Duration: 3 Months (Possible Extensions)
Shift: 8AM - 5Pm (Mon-Fri)
Walk me through the day to day responsibilities of this the role and a description of the project (Outside of Workday JD):
Describe the performance expectations/metrics for this individual and their team:
Tell me about what their first day looks like:
Must haves:
Must assess vendor-delegated abstraction activities and compare results to HEDIS standards and/or custom or other measure set standards
4+ years of nursing, medical assistant, medical coding, or data management experience is required.
Experience in quality initiatives (including HEDIS project, study analysis, or NCQA standards) 2.
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
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