Lead Medical Records Collector

Molina Healthcare • Provo, UT • 10h ago

JOB DESCRIPTION Job Summary

Provides lead level support for medical records collection activities. Responsible for quality improvement activities including outreach to providers for collection of medical records for Healthcare Effectiveness Data and Information Set (HEDIS) specific data collection, projects and audit processes. Contributes to overarching strategy to provide quality and cost-effective member care.

Essential Job Duties

Outreaches to providers via phone call, fax, mail, electronic medical record system (EMR) retrieval, and direct on-site pick up for collection of medical records.

Loads medical records and reports from provider offices into the Healthcare Effectiveness Data and Information Set (HEDIS) application.

Provides subject matter expertise in project management/coordination of identification, pursuit and collection of medical records and other data in collaboration with other HEDIS staff.

Supports annual HEDIS audit and other like audits, and organizes provider outreach, pursuit, collection and upload of provider medical records into the internal database. Subject matter expert in the area of collecting medical records and reports from provider offices, loads data into the HEDIS application.

Assists the medical records leadership and quality improvement staff with physician and member interventions and incentive efforts as needed through review of medical records documentation.

Provides mentorship and leadership to team members and represents as lead on process and project improvement initiatives.

Participates in and prepares feedback for meetings with vendors related to the medical record collection process.

Some medical records collection related travel may be required.

Required Qualifications

At least 4 years of health care experience, including medical records support experience in a managed care setting, or equivalent combination of relevant education and experience.

Valid and unrestricted driver's license, reliable transportation, and adequate auto insurance for job related travel requirements.

Latest Centers for Medicare and Medicaid Services (CMS) and American Hospital Association (AHA) clinic coding knowledge.

Ability to maintain confidentiality and comply with Health Insurance Portability and Accountability Act (HIPAA).

Knowledge of Healthcare Effectiveness Data and Information Set (HEDIS) and National Committee for Quality Assurance (NCQA).

Proficiency with data analysis tools (e.g., Excel).

Excellent customer service and active listening skills.

Previous project coordination and/or process improvement experience.

Ability to effectively interface with staff, clinicians, and leadership.

Strong prioritization skills and detail orientation.

Strong verbal and written communication skills, including professional phone etiquette.

Microsoft Office suite/applicable software program(s) proficiency. Preferred Qualifications - Registered Health Information Technician (RHIT). - Healthcare Effectiveness Data Information Set (HEDIS) data collection experience. To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V

Pay Range: $21.65 - $38.37 / HOURLY

*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

Similar Jobs

Medical Office Coordinator

HCA Healthcare • Draper, UT • 10h ago

Hospital & Medical

Description Introduction Are you passionate about the patient experience? At HCA Healthcare, we are committed to caring for patients with purpose and integrity. We care like family! Jump-start your career as a(an) Medica...

10h ago

Go to Apply

Lead Medical Records Collector

Molina Healthcare • Orem, UT • 10h ago

Hospital & Medical

JOB DESCRIPTION Job Summary Provides lead level support for medical records collection activities. Responsible for quality improvement activities including outreach to providers for collection of medical records for Heal...

10h ago

Go to Apply

Registered Nurse

Sevita • Riverton, UT • 1d ago

Hospital & Medical

NeuroRestorative, a part of the Sevita family, provides rehabilitation services for people of all ages with brain, spinal cord and medically complex injuries, illnesses and other challenges. In a variety of locations and...

1d ago

Go to Apply

Medical Assistant Ortho

Intermountain Health • Provo, UT • 1d ago

Hospital & Medical

Job Description: A Medical assistant has accountability for providing care to patients in an ambulatory clinic setting. This will involve caring for patients with acute and chronic needs. A Medical Assistant will be resp...

1d ago

Go to Apply

Warehouse & Electronics Technician

PrincePerelson & Associates • Lindon, UT • 1d ago

Hospital & Medical

Warehouse & Electronics Technician Location: Lindon, Utah Schedule: Monday-Friday | 8:30 AM-5:00 PM (Fully Onsite) Pay: $27/hour About the Role We are seeking a knowledgeable and reliable Warehouse & Electronics...

1d ago

Go to Apply

Medical Laboratory Technician I

ARUP Laboratories • Sandy, UT • 3d ago

Hospital & Medical

Description Schedule :7-On/7-Off7:00 AM - 5:30 PM Training Schedule : Monday - Friday 8:00 AM - 4:30 PM Department: Blood Services - 442 Primary Purpose : Provides services of both a technical and non-technical nature in...

3d ago

Go to Apply

Medical Records Collector

Molina Healthcare • Orem, UT • 3d ago

Hospital & Medical

JOB DESCRIPTION Job SummaryProvides support for medical records collection activities. Supports quality improvement activities through outreach to providers for collection of medical records for Healthcare Effectiveness...

3d ago

Go to Apply

CNA Medical Surgical

CommonSpirit Health • Lehi, UT • 3d ago

Hospital & Medical

Job Summary and Responsibilities You have a purpose, unique talents and now is the time to embrace it, live it and put it to work. We value incredible people with incredible skills - but your commitment to a greater caus...

3d ago

Go to Apply

Medical Records Collector

Molina Healthcare • Provo, UT • 3d ago

Hospital & Medical

3d ago

Go to Apply

Spanish Medical Interpreter

Intermountain Health • Provo, UT • 4d ago

Hospital & Medical

Job Description: Coordinates and delivers both interpretation (oral) and translation (written) services for individuals with limited English proficiency across all Intermountain Health facilities and virtual services. Ap...

4d ago

Go to Apply

Subscribe to get new jobs sent directly to you
(no charge, cancel anytime)

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.