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Hedis Chart Jobs in Georgia (NOW HIRING)

Molina's Hedis/Quality Improvement Medical Records Collector Molina's HEDIS/Quality Improvement ... Ability to manage files, schedules and information efficiently Working in chart retrieval projects ...

Molina's Hedis/Quality Improvement Medical Records Collector Molina's HEDIS/Quality Improvement ... Ability to manage files, schedules and information efficiently Working in chart retrieval projects ...

Regional Quality Lead

Atlanta, GA · On-site

$110 - $160/hr

... across HEDIS, Medicare STARs, ACO, and MSSP programs. This role will provide strategic and ... Coordinate chart reviews, medical record retrieval, audit readiness, and validation processes.

Regional Quality Lead

Atlanta, GA · On-site

$100K - $125K/yr

... chart reviews, medical record retrieval, audit readiness, and validation processes. • Monitor ... Advanced knowledge of HEDIS, CMS STARs, ACO, and MSSP measure specifications. * Proficiency with ...

Practice Success Partner

Atlanta, GA · On-site

$90 - $120/hr

Experience with HEDIS/Stars quality programs or risk adjustment coding processes (from a coordination standpoint, not chart-level execution). * Bachelor's degree or equivalent experience.

Practice Success Partner

Atlanta, GA · On-site

$120K - $145K/yr

... HEDIS/Stars quality programs or risk adjustment coding processes (from a coordination standpoint, not chart-level execution). • Bachelor's degree or equivalent experience. Competencies • ...

Medical Assistant

Atlanta, GA · On-site

$18 - $20/hr

Ensure all lab and diagnostic test results are in the chart prior to appointment. * Ensure all exam ... Knowledge of HEDIS. Education and Experience: High school diploma or equivalent. At least three ...

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Hedis Chart information

What is a HEDIS chart abstractor?

HEDIS chart abstractors are healthcare professionals who review and extract clinical information from patient medical records to support the Healthcare Effectiveness Data and Information Set (HEDIS) reporting process. Their work helps healthcare organizations measure and report on the quality of care provided to patients, ensuring compliance with national standards set by the National Committee for Quality Assurance (NCQA). HEDIS chart abstractors typically need a strong understanding of medical terminology, medical records, and quality measurement requirements. Their efforts directly impact a health plan’s quality scores and reputation.

What skills and qualifications are needed to thrive as a HEDIS chart abstractor?

To thrive as a HEDIS Chart Abstractor, you need a background in healthcare, strong knowledge of HEDIS measures, and experience with medical record review, often supported by a nursing or health information degree. Familiarity with electronic health record (EHR) systems, chart abstraction tools, and HEDIS-specific software like NCQA's tools is typically required. Attention to detail, analytical thinking, and strong organizational skills are essential soft skills for this role. These skills ensure accurate data collection and reporting, which are critical for healthcare quality improvement and compliance.

What are common challenges faced by professionals working in HEDIS chart abstraction, and how can they be addressed?

Professionals in HEDIS chart abstraction often encounter challenges such as incomplete or inconsistent medical records, tight reporting deadlines, and the need to navigate various electronic health record (EHR) systems. To address these issues, it helps to develop strong attention to detail, effective time management skills, and familiarity with multiple EHR platforms. Collaborating closely with healthcare providers and team members can also improve data accuracy and streamline the abstraction process.

What is the difference between Hedis Chart vs Medical Coder?

AspectHedis ChartMedical Coder
CredentialsTypically requires knowledge of HEDIS measures, healthcare documentation, and coding standardsRequires coding certifications like CPC, CCS, or CCS-P
Work EnvironmentHealthcare facilities, insurance companies, or consulting firmsHospitals, clinics, insurance companies, or coding service providers
Industry UsageUsed for quality measurement and healthcare reportingUsed for medical record coding and billing
Primary FocusChart review for HEDIS compliance and quality metricsAccurate medical record coding for billing and documentation

The main difference between a Hedis Chart specialist and a Medical Coder lies in their focus. Hedis Chart professionals concentrate on reviewing healthcare charts to ensure compliance with HEDIS quality measures, while Medical Coders focus on translating medical records into standardized codes for billing and documentation. Both roles require healthcare knowledge, but their specific tasks and certifications differ.

What does a Hedis Chart do?

A HEDIS chart is used by healthcare professionals to document and track patient care data related to quality measures defined by the Healthcare Effectiveness Data and Information Set (HEDIS). It helps ensure compliance with clinical guidelines, monitor patient outcomes, and improve healthcare quality by organizing relevant medical information systematically. Accurate charting is essential for quality reporting, audits, and care coordination.

What cities in Georgia are hiring for Hedis Chart jobs?

Cities in Georgia with the most Hedis Chart job openings:

Healthcare - HEDIS Medical Record Collector

Saviance

Rex, GA

$17.50 - $23.25/hr

Full-time

Re-posted 6 days ago


Job description

Molina's Hedis/Quality Improvement Medical Records Collector

Molina's HEDIS/Quality Improvement Medical Records Collector will work collaboratively in outreaching to providers in order to pursue medical records via phone call, fax, mail, electronic medical record system retrieval and direct onsite pick up, for the HEDIS projects.

Main duties & responsibilities of the role:

  • Under the direction of the national and/or regional lead, the Medical Records Collector supports the annual HEDIS audit and other HEDIS like audits, by organizing provider outreach, pursuit, collection and upload of provider medical records into the internal database.
  • Assisting with project management by coordinating the identification, pursuit and collection of medical records and other data in collaboration with other HEDIS staff.
  • Assists the Manager and Supervisor(s) and / or performs the coordination and preparation of the HEDIS medical record collection process that includes the pursuit via phone call, fax, mail, electronic medical record system retrieval and direct onsite pick up.
  • Participates in meetings with vendors for the medical record collection process.
  • Collects medical records and reports from provider offices, loads data into the HEDIS application. Onsite medical record collection may be required for all staff.

Required experience/knowledge, skills & abilities:

  • 1 year customer service experience
  • Basic computer skills (e.g. Microsoft Office)
  • Proficiency in data analysis tools (e.g. Microsoft Excel)
  • Ability to manage files, schedules and information efficiently

Working in chart retrieval projects, calling provider offices, faxing, reviewing/scrubbing/renaming and uploading charts, researching provider office and member information in internal and external systems. Collaborating with team to meet deadlines and timelines for projects with high visibility. Could include onsite visits to collect medical records.

Preferred experience/knowledge, skills & abilities:

  • 1 season/year medical record collection experience
  • 1-year managed care experience
  • Basic knowledge of HEDIS and NCQA

Required license, certification, association:

  • Must have a valid driver's license with good driving record and be able to drive within applicable state or locality with reliable transportation.

Saviance logo

About Saviance

Sourced by ZipRecruiter

Saviance is a modern consulting firm providing a variety of professional services to its clients in the US. We bring twenty three years of experience to the table. Our consultants are qualified experts and extremely talented. We understand the business behind the technology, and work with many of the top Fortune 100 companies and provide innovative, scalable, robust and secure solutions. At the forefront of the Staffing and IT Solutions industry, Saviance is certified by NMSDC as a Tier 1, Minority Business Enterprise (MBE) . We are a self- certified Small Business and self- certified Woman Owned Business committed to maximizing global workforce solutions on behalf of our clients, empowering businesses and talent through applied human intelligence. We are a Diversity Supplier with global reach specializing in a business services blend of talent, technology, and a relentless commitment to customer success. It’s our diversity that’s acts as a core component of our culture, our approach to business, and the opportunities we provide to our clients and our employees.

Industry

It services

Company size

201 - 500 Employees

Headquarters location

East Rutherford, NJ, US

Year founded

1999

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