[Hiring] Clinical Quality Improvement Abstractor @Mindlance

Role Description

Lead data collection and abstraction for company quality measures, including HEDIS, CMS, CHIPRA and/or any other custom measurements.

Qualifications

• 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.
• Current state’s RN or LPN license preferred.

Requirements

• 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.
• Comply with all policies and standards.

Benefits

• Equal Opportunity Employer: Mindlance does not discriminate in employment on the basis of – Minority/Gender/Disability/Religion/LGBTQI/Age/Veterans.