Data Abstraction Specialist for Quality Improvement Initiatives
1 week ago
The Health Plan of West Virginia, Inc. is seeking a Data Abstraction Specialist to join our team.
Job SummaryWe are looking for a highly skilled and detail-oriented individual to support quality improvement initiatives by conducting data collection and abstraction of medical records.
Responsibilities- Outreach and Coordination: Coordinates outreach efforts to request, collect, and secure clinical documentation from network providers and facilities in a timely manner.
- Data Abstraction: Performs medical record abstraction to support specified and required clinical data elements for HEDIS measures, quality improvement initiatives, and auditing projects.
- Chart Audit Documentation: Documents chart audit findings in applicable chart audit tools.
- Process Improvement: Assures medical record chart abstractions are completed timely and in accordance with HEDIS technical specifications and guidelines.
- Recommendations: Makes recommendations for process improvements and provider education related to chart audit findings and HEDIS specifications and medical record coding.
- Training Development: Assists in the development of provider training to accomplish established corporate quality goals related to improved coding.
- Collaboration: Collaborates with Clinical Services, Quality Improvement, Medical Economics, and the Provider Delivery Services departments to develop data-driven provider and member initiatives.
- Performance Metrics: Maintains accuracy ratings and performance goals as defined by the Quality Improvement Department.
This role requires strong analytical skills, attention to detail, and effective communication abilities.
Requirements- Certified Medical Coder with a minimum of three years' experience in a healthcare setting.
- Proficient in Microsoft products.
- Experience in the use of various Electronic Medical Records including EPIC systems.
- Demonstrated experience in data collection, medical record review, and data abstraction.
- Able to complete tasks in a timely manner.
- Detail-oriented with problem-solving abilities.
- Strong critical thinking, analytical skills, and the ability to work in a fast-paced environment.
- Strong written and verbal communication skills.
The estimated salary range for this position is $65,000 - $85,000 per year, depending on experience and qualifications.
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