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Demonstrates knowledge, proficiency and compliance with regulatory requirements including, but not limited to: Joint Commission, NPSG, Department of Health, HEDIS, PCMH, QI and other contractual obligations.
Full-timeExpandApply NowActive JobUpdated 5 days ago - UpvoteDownvoteShare Job
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Actively manage all aspects of APP care: medical decision making, specialty consults, home health and hospice referrals and review minimum of 5% of APP charts for clinical care (emphasis on medication optimization, palliative care/advance directives) and appropriate HCC/HEDIS exclusion documentation.
ExpandApply NowActive JobUpdated 10 days ago - UpvoteDownvoteShare Job
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Knowledge of New York State Medicaid and CMS Medicare regulations and related reporting requirements such as STARS, QARR, MMCOR, MEDS, RAPS, EDGE and HEDIS required. Working knowledge of health care EMR or claims systems (Epic/Clarity, eCW, Facets, QNXT, Amisys, etc.
$86,000 - $165,000 a yearFull-timeExpandApply NowActive JobUpdated 4 days ago - UpvoteDownvoteShare Job
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We are seeking a qualified and experienced individual to join our team as Clinical Data Abstraction Team Lead. In this role, you will lead a team of clinical abstraction specialists responsible for analyzing patient medical records to ensure accurate coding for Risk Adjustment and HEDIS purposes.
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SUMMARY: We are seeking a qualified and experienced individual to join our team as Clinical Data Abstraction Team Lead. In this role, you will lead a team of clinical abstraction specialists responsible for analyzing patient medical records to ensure accurate coding for Risk Adjustment and HEDIS purposes.
Full-timeExpandApply NowActive JobUpdated 6 days ago - UpvoteDownvoteShare Job
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Looking for a full time clinician to work at a County Health Center assisting with Quality Improvement projects and help close gaps in patient care for quality metrics from HEDIS and HRSA (UDS.
Full-timeExpandApply NowActive JobUpdated 16 days ago - UpvoteDownvoteShare Job
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This position requires the coder to be highly proficient in the proper assignment of ICD-10 CM, PCS, CPT, HCPCS, HCC, HEDIS CAT II, E/M and modifier codes. The primary purpose of the Coding Specialist II is to code and verify charge data necessary to ensure correct coding, abstracting, and billing on emergency department (ED), same day surgery (SDS), outpatient clinic (OPC), observation (OBS), specialty clinics and/or inpatient OB/newborn encounters.
RemoteExpandApply NowActive JobUpdated 10 days ago - UpvoteDownvoteShare Job
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Knowledge of healthcare quality metrics (e.g. CCO incentive measures, Medicare Stars measures, HEDIS or other measure sets) Advanced proficiency in R, SQL, SPSS or Tableau for analysis OR Advanced proficiency in Tableau for data visualization & dashboard building.
ExpandApply NowActive JobUpdated 4 days ago - UpvoteDownvoteShare Job
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The Senior Data Analyst should be familiar with external benchmark sources (i.e., Medicare fee schedules, Milliman data, HEDIS, etc.) Use external benchmark sources (i.e., Medicare fee schedules, Milliman data, HEDIS, etc.
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QUALIFICATIONSBachelor's or Master's degree in Health Informatics, Statistics, Public Health, Epidemiology, or a related field2+ years of relevant experienceStrong understanding of healthcare quality measures, including NCQA HEDIS measures, measures derived from EHR and other standardized datasets, administrative data, and public health databases.
RemoteExpandApply NowActive JobUpdated 7 days ago - UpvoteDownvoteShare Job
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The organization exceeds the 90th percentile in most HEDIS measures, is among the top provider groups nationally in patient experience and provides care at a cost well below market competitors.
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To achieve high-quality outcomes the Value-Based Coding Advisor is to have knowledge of HEDIS/STARs measures and guidelines, CMS Hierarchical Condition Category (HCC) coding guidelines, clinical documentation standards, and education/training skills.
$55,953 - $83,930 a yearFull-timeExpandApply NowActive JobUpdated 3 days ago - UpvoteDownvoteShare Job
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Strong understanding of healthcare quality measures, including NCQA HEDIS measures, measures derived from EHR and other standardized datasets, administrative data, and public health databases. Manage the process of NCQA certification for HEDIS measures, including data collection, submission, and validation.
RemoteExpandApply NowActive JobUpdated 7 days ago - UpvoteDownvoteShare Job
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You will participate in measure certification processes, such as the NCQA certification process for HEDIS measures. Bachelor's or Master's degree in Health Informatics, Statistics, Public Health, Epidemiology, or a related field.
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Statistical Software: SAS, R, Python. Data Visualization Tools: Tableau, Power BI, ggplot2 (in R) Proficiency in data manipulation, analysis, and visualization using tools such as SQL, Python, R, SAS, or similar.
RemoteExpandApply NowActive JobUpdated Yesterday
hedis job
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