Clinical - Quality Improvement Abstractor
1 month ago
Location: Remote - GA
Shift: M-F
8am - 5pm
Voluntary OT available in Dec and Jan. OT will be required beginning in March 2025 ( approximately 10 hours per week) During April weekend work is expected / required.
Duration: This is a TEMPORARY role, Position will be termed 5/9/2025
Walk me through the day to day responsibilities of this the role and a description of the project:
- bstract and Overread medical records. Assist with provider chase assignment.
- ssess 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
- Flexibility. Meet assigned weekly productivity goals. Pass HEDIS measure tests. SME for assigned HEDIS measure(s).
Education/Experience: Associate's degree in related field or equivalent experience. Bachelor degree preferred.
Required Skills/Experience: Preferred Skills/ Experience: 1. Strong knowledge of HEDIS Measures and Technical Specifications 1. Strong knowledge of HEDIS Measures and Technical Specifications 2. Experience in quality initiatives (including HEDIS project, study analysis, or NCQA standards) preferred. 2. Experience in quality initiatives (including HEDIS project, study analysis, or NCQA standards) preferred. 3. dvanced knowledge of Microsoft Applications, including Excel and Access. 3. dvanced knowledge of Microsoft Applications, including Excel and Access. 4. Medical coding or data management experience. 4. Medical coding or data management experience. Education Requirement: ssociate degree in related field or equivalent experience. Bachelor's degree preferred. 4+ years of nursing, medical assistant, Education Preferred: LPN, RN, Coder, Medical Assistant w/ strong HEDIS Experience Software Skills Required: dvanced knowledge of Microsoft Applications, including Excel and Access. QSHR experience a bonus Required Certifications: LPN or RN Required Testing:
-
HEDIS Data Abstractor
2 days ago
Atlanta, United States TEKsystems Full timeHEDIS Data Abstractor (Remote) Job Description Responsibilities include retrieving medical records with clinical accuracy using remote access to Electronic Medical Record Systems while meeting daily productivity expectations. Accuracy and productivity rates are closely monitored to maintain a >95% accuracy rate, but also to be efficient and productive as...
-
HEDIS Data Abstractor
6 days ago
Atlanta, United States TEKsystems Full timeJob DescriptionJob DescriptionHEDIS Data Abstractor (Remote)Job DescriptionResponsibilities include retrieving medical records with clinical accuracy using remote access to Electronic Medical Record Systems while meeting daily productivity expectations. Accuracy and productivity rates are closely monitored to maintain a >95% accuracy rate, but also to be...
-
Atlanta, Georgia, United States Emory University Full timeDiscover a challenging career opportunity at Emory University, a leading research institution renowned for its commitment to excellence and innovation. With a strong focus on fostering a diverse and inclusive academic community, we welcome candidates who can contribute to our rich cultural tapestry.We are seeking an exceptional Pediatric Pulmonary physician...
-
Quality Improvement Specialist
3 weeks ago
Atlanta, United States Pyramid Consulting, Inc Full timeImmediate need for a talented Quality Improvement Specialist. This is a 05+ Months Contract opportunity with long-term potential and is located in Atlanta GA(Remote). Please review the job description below and contact me ASAP if you are interested.Job ID:24-51407Pay Range: $18 - $20/hour. Employee benefits include, but are not limited to, health insurance...
-
Contract Quality Improvement Professional
7 days ago
Atlanta, Georgia, United States Pyramid Consulting, Inc Full timeJob Description:This Contract Quality Improvement Professional role requires a talented individual to work with members and providers. The successful candidate will receive, manage, and report workload progress to the Manager or Supervisor.Responsibilities:Contact medical facilities to request records.Assist members in scheduling appointments with...
-
Atlanta, United States City of Atlanta Full timePosition posted until filledSalary Range: $48,995.50 to $81,661.42 annuallyGeneral Description and Classification StandardsThis individual will work under the direction of the EMS Chief and Medical Director and is essential to the Department’s EMS quality assurance and improvement initiatives. The Quality Assurance and Quality Improvement (QA/QI) Officer...
-
Process Improvement Leader
6 days ago
Atlanta, Georgia, United States Infosys McCamish Systems Full timeJob Description:We are seeking a Process Improvement Leader to join our team in Atlanta, GA.About the Role:The successful candidate will be responsible for driving process improvement, ensuring compliance, implementing change management programs, and performing risk audits. They will also deploy delivery risk management processes, benchmark client delivery...
-
Quality Improvement Specialist
7 days ago
Atlanta, Georgia, United States Pyramid Consulting, Inc Full timeAbout the Job:We are currently seeking a talented Quality Improvement Specialist to join our team on a contract basis. This is a 05+ months opportunity with long-term potential and is located in Atlanta, GA (Remote).Job Overview:The successful candidate will be responsible for working with members and providers, receiving, managing, and reporting workload...
-
Atlanta, GA, United States City of Atlanta Full timePosition posted until filledSalary Range: $48,995.50 to $81,661.42 annuallyGeneral Description and Classification StandardsThis individual will work under the direction of the EMS Chief and Medical Director and is essential to the Department’s EMS quality assurance and improvement initiatives. The Quality Assurance and Quality Improvement (QA/QI) Officer...
-
Quality Improvement Specialist
1 week ago
Atlanta, Georgia, United States DSJ Global Full timeAbout the RoleWe are seeking a skilled Quality Improvement Specialist to join our esteemed global medical device company. This role is pivotal in driving product improvements by performing and supporting quality complaint evaluations and field safety communications.ResponsibilitiesProduct Surveillance Management: Develop and manage global policies and...
-
Atlanta, GA, United States City of Atlanta Full timePosition posted until filledSalary Range: $48,995.50 to $81,661.42 annuallyGeneral Description and Classification StandardsThis individual will work under the direction of the EMS Chief and Medical Director and is essential to the Department’s EMS quality assurance and improvement initiatives. The Quality Assurance and Quality Improvement (QA/QI) Officer...
-
Atlanta, GA, United States City of Atlanta Full timePosition posted until filledSalary Range: $48,995.50 to $81,661.42 annuallyGeneral Description and Classification StandardsThis individual will work under the direction of the EMS Chief and Medical Director and is essential to the Department’s EMS quality assurance and improvement initiatives. The Quality Assurance and Quality Improvement (QA/QI) Officer...
-
Clinical Quality Nurse Leader
4 weeks ago
Atlanta, United States Grady Health System Full timeJOB DESCRIPTION Grady Health System offers many career paths for experienced professionals. Whether you have many years of experience or are in the early stages of your career, you can find a rewarding career at Grady! SUMMARY The Clinical Quality Nurse Leader reports to the Nursing Quality Department and provides quality surveillance through event...
-
Operations Improvement Specialist
1 week ago
Atlanta, Georgia, United States Oldcastle APG Full timeJob SummaryThis position is responsible for technically supporting and enhancing our North American manufacturing operations. The Operations Improvement Specialist will provide equipment expertise to plants for process, productivity, and quality improvement. Key responsibilities include establishing close working relationships with manufacturing personnel,...
-
Quality urance Coordinator
2 months ago
Atlanta, United States destinationone Consulting Full timedestinationone Consulting specializes in recruitment across diverse sectors including Healthcare Health Tech Government Municipalities NonProfits Legal Public Accounting Food and more. We are proactively building a data bank for opportunities in these fields. By applying you ensure our recruiters can quickly match you with suitable roles when they...
-
Process Improvement Specialist
1 week ago
Atlanta, United States Children's Healthcare of Atlanta Full timeNote: If you are CURRENTLY employed at Children's and/or have an active badge or network access, STOP here. Submit your application via Workday using the Career App (Find Jobs). Work Shift Day Work Day(s) Monday-Friday Shift Start Time 8:00 AM Shift End Time 5:00 PM Worker Sub-Type Regular Children's is one of the nation's leading children's hospitals. No...
-
Continuous Improvement Leader
2 weeks ago
Atlanta, United States Hitachi Vantara Corporation Full timeDescription General information:Hitachi Energy is seeking a Continuous Improvement (TPM) Leader for the North American (NAM) Hub, with primary focus on TPM (Total Productive Maintenance). The ITM system is the global Transformers business unit Lean management system defining how we operate as an organization and how we run the business. This role is...
-
Continuous Improvement Leader
2 weeks ago
Atlanta, United States Hitachi Vantara Corporation Full timeDescription General information:Hitachi Energy is seeking a Continuous Improvement (TPM) Leader for the North American (NAM) Hub, with primary focus on TPM (Total Productive Maintenance). The ITM system is the global Transformers business unit Lean management system defining how we operate as an organization and how we run the business. This role is...
-
Process Improvement Manager
1 week ago
Atlanta, United States Passion for Life, Inc. Full timeCompany Description: Passion for Life, Inc. is a 501(c)(3) organization. Our mission is to provide forward-thinking career coaching and immersion opportunities driven by the student’s passions and talents in a fun, structured, and high-energy environment, helping under-resourced youth transform their passions into rewarding careers. Job Description: As a...
-
Continuous Improvement Manager
3 weeks ago
Atlanta, United States Zep Full timeAbout Zep Inc.Zep Inc. is a leading manufacturer of cleaning solutions for businesses and consumers with operations across the U.S, Canada, and Europe. Our purpose is to make the planet cleaner, safer, and more productive. To fulfill our purpose, we focus on understanding and solving cleaning needs for consumers, as well as business customers across a...