Senior Medical Records Collector (Remote)

Molina Healthcare; Atlanta (GA); Remote; USD 60,000 - 80,000; Full time

Job summary

A healthcare organization in Atlanta is seeking a Sr. Medical Records Collector. This role requires at least 3 years of experience in medical record collection and managed care, with knowledge of HEDIS. The position involves organizing audits and collecting medical records, mentoring team members, and acting as a subject matter expert. A valid driver's license and reliable transportation are needed. The hourly pay ranges from $21.16 to $34.88.

Benefits

Competitive benefits and compensation package

Qualifications

• 3+ years of medical record collection experience.
• 3+ years of managed care experience.
• Basic knowledge of HEDIS and NCQA.

Responsibilities

• Support annual HEDIS audit by organizing provider outreach and records collection.
• Act as a subject matter expert for medical records coordination.
• Assist in preparation of the HEDIS medical record collection process.

Skills

Medical record collection experience

Managed care experience

Knowledge of HEDIS and NCQA

Education

High School Diploma or equivalent

Tools

Driver's license

Reliable transportation

Job description

Job Summary

Molina's HEDIS/Quality Improvement Sr. Medical Records Collector is a team member with several years experience in working collaboratively with 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. These team members help mentor other team members and take the lead on process and project improvement. These team members act as the subject matter experts in the area of medical record collection/pursuit.

Responsibilities

• 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.
• Subject matter expert in the area of project management/coordination of 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 and prepared feedback for the vendor meetings in relation to the medical record collection process.
• Subject matter expert in the area of collecting medical records and reports from provider offices, loads data into the HEDIS application.
• Assists the manager/lead and quality improvement staff with physician and member interventions and incentive efforts as needed through review of medical records documentation.

Qualifications

REQU I RED EDU C ATION:

High School Diploma or equivalent

• 3+ seasons/years medical record collection experience.

• 3+ years managed care experience.

• Basic knowledge of HEDIS and NCQA

REQU I RED L I C E N S E , AS S O C I A T I O N:

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

P R E FE R R E D E XPERIENCE:

3 years HEDIS data collection experience.

P R E F E R R E D L I C E N S E , AS S O C I A T I O N :

Certified Medical Record Technician

Physical Demands

Working environment is generally favorable and lighting and temperature are adequate. Work is generally performed in an office environment in which there is only minimal exposure to unpleasant and/or hazardous working conditions. Must have the ability to sit for long periods. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential function.

To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing.

Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.

Pay Range: $21.16 - $34.88 / HOURLY

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