Medical Records Collector

JOB DESCRIPTION

Job Summary

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.

 

Job Duties

• 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.

 

JOB QUALIFICATIONS

REQUIRED EDUCATION:

High School Diploma or equivalent

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

PREFERRED EXPERIENCE:

2 years HEDIS data collection experience.

PREFERRED LICENSE, CERTIFICATION, ASSOCIATION:

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 a