Senior Abstractor, HEDIS/Quality Improvement (Remote)
2037054
Job Description
Job SummaryMolina's Quality Improvement Sr. Abstractor conducts 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. Sr. Abstractors will also reputed company mentoring to entry level abstractors.Job Duties
- Performs 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.
- Participates in meetings with vendors for the medical record collection process.
- As needed, may 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.
- Participates in scheduled meetings with the National Over read team, National Training Team, Regional HEDIS team, vendors and HEDIS auditors regarding quality and HEDIS review and results.
- Assists with projects and process improvement initiatives
- Mentors entry level Abstractors
Job Qualifications REQUIRED EDUCATION: Bachelor's degree or equivalent experience REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS & ABILITIES:
- 3 years experience in reputed company Quality/HEDIS specific to medical record review and abstraction
- Intermediate knowledge and understanding of HEDIS projects
PREFERRED EXPERIENCE:
- At least 3 years of medical record abstraction experience
- 3+ years managed care experience.
- Advanced knowledge of HEDIS and NCQA
PREFERRED LICENSE, CERTIFICATION, ASSOCIATION: Active RN license for the State(s) of employment To reputed company reputed company Molina employees: If you are interested in applying for this position, please apply through the intranet job listing. reputed company offers a competitive benefits and compensation package. reputed company is an Equal Opportunity Employer (EOE) M/F/D/V. Pay reputed company: $25.1 - $48.94 / HOURLY
- Actual compensation may vary from posting based on geographic location, work experience, education and/or reputed company level.
About Us reputed company is a reputed company fortune 500 organization with a mission to reputed company quality reputed company to people receiving government assistance. If you are seeking a meaningful opportunity in a team-oriented environment, come be a part of a highly reputed company workforce dedicated to our mission. Bring your passion and talents and together we can reputed company a difference in the lives of others. reputed company offers a competitive benefits and compensation package. reputed company is an Equal Opportunity Employer (EOE) M/F/D/V. Job Type Full TimePosting Date 04/22/2026 Apply tot his job Apply To this Job