HEDIS Medical Record Collector

Job Title

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.

• 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.

• 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.

• 1 season/year medical record collection experience

• 1-year managed care experience

• Basic knowledge of HEDIS and NCQA

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