Tampa, FL
... Ensure adherence to HEDIS/5-Star measures and HIPAA regulations. Coordinate with physicians and staff to guarantee patient satisfaction. Provide training and support for new employees and clinic integration JSA Medical Group / DaVita Medical Group ...
- Apr 17
Pittsburgh, PA
... Gateway Health Plan Pittsburgh PA Mar 2016 – Jun 2016 Medical Coding Analyst *Transferred from AHN* ·Reviewed, abstracted and coded according to Medicare’s Risk Adjustment (MRA) model for Medicare Advantage Organizations, Medicaid and HEDIS ...
- Apr 16
Ridge, NY
... • Strong knowledge of CPT & ICD-10 codes, HCPCS, Modifiers, HEDIS, Medical Terminology, EMR Software and basic HIPAA principles. Experience SB CLINICAL PRACTICE MANAGEMENT PLAN INC 8/22 – Present Compliance Medical Auditor – CPMP Compliance ...
- Apr 16
Baton Rouge, LA
... Use HEDIS measures to qualify service efficacy. Independently conduct intake screenings, psychosocial assessments, diagnose, develop, implement and evaluate treatment plans of care for client/patient systems based on identified needs of mental ...
- Apr 16
The Historic Core, CA, 90013
... April 2010 to June 2013 HEDIS Field Reviewer Data Collections Specialist at Outcomes Health Information Solutions 05/2011 - 02/2012 (1 year) Review audit health information using HEDIS guidelines, as well as scan and enter data manually into EMR ...
- Apr 13
Rockland, MA, 02370
... exam results into the online registry • Worked remotely as back up support and during inclement weather • Assist in maintaining HEDIS goals Medical Assistant/Office Manager Carewell Urgent Care - Norwell, MA August 2016 to October 2017 • Greet and ...
- Apr 12
Prairieville, LA
... Neuro stepdown Registered Nurse Our Lady of the Lake Health - Baton Rouge, LA December 2020 to July 2021 HEDIS Review Nurse Inovalon January 2021 to May 2021 • Conducted field HEDIS, QARR, and Medicare Risk Adjustment data abstraction for HEDIS ...
- Apr 10
Columbia, TN
... I also work closely with other C&S programs across UHC to implement Electronic Visit Verification (EVV) systems, HEDIS applications in HL7 formats and other programs. Currently working with North Carolina, Pennsylvania, Arizona, and Virginia C&S ...
- Apr 09
The Hammocks, FL, 33186
... OF SCIENCE: BIOETHICS 12/2017 St Thomas University, Miami Gardens, FL CERTIFICATIONS BLS Basic life support Healthcare Education: completed training on HEDIS for Medicaid and Medicare. Certificate of Case Management Expedited: Barry University
- Apr 08
Cambridge, MA
... Cost savings $10M Molina Healthcare Medicaid, Medicare revenue improvement of business Intelligence GAP reporting and quality measures such as HEDIS, HCC, CAHPS, and STARTS. Cost savings $20M Beth Israel Hospital RTLS technologies deployment and ...
- Apr 08