Presbyterian Healthcare Services
Senior Quality Improvement Abstract
Presbyterian Healthcare Services, Albuquerque, New Mexico, United States, 87101
Overview
Presbyterian is seeking a
Senior Quality Improvement Abstractor . This role oversees and performs Medical Record Retrieval, Review, and Reporting processes to support HEDIS, STARs, HEDIS-Like, supplemental, and other regulatory reporting, as well as PHP Board-approved health management initiatives across the enterprise. The Senior Abstractor assists with clinical decision-making, training, and quality oversight responsibilities. We are committed to caring for healthcare workers. Presbyterian is dedicated to improving lives — those of our patients and our staff. As a locally owned organization, we promote supportive leadership and opportunities for career growth from entry-level to senior positions. Why Join Us Full-Time, Exempt Position Location: Rev Hugh Cooper Admin Center Work Hours: Day Shift Benefits: Comprehensive package including medical, wellness, vision, dental, paid time off, retirement, and more for full-time employees. Ideal Candidate Qualifications: Bachelor’s Degree or equivalent experience (Associate degree plus 3 years of experience) Registered Nurse (RN) with at least 2 years of clinical experience or LVN/LPN with HEDIS experience and 3-4 years of clinical experience Knowledge of medical terminology, practices, coding, and data management Proficiency in Microsoft Office applications, including Excel and Access Responsibilities include but are not limited to:
Applying Performance Improvement tools for project planning, tracking, and reporting Developing data collection tools, analyzing data, and supporting quality initiatives Performing Medical Record Reviews to support quality and regulatory reporting (HEDIS, CMS Star, Medicaid, etc.) Managing provider caseloads, communicating progress, and ensuring timely medical record submissions Identifying clinical findings, documenting in HEDIS databases, and tracking outcomes Ensuring compliance with HIPAA and other policies, maintaining confidentiality Participating in audits, mentoring staff, and conducting site visits as needed Utilizing remote applications and tools for record abstraction and management Other duties include administrative tasks, training development, and travel as required. All benefits-eligible employees receive a comprehensive benefits package, including wellness programs designed to promote health and well-being. Presbyterian is committed to community health improvement through various initiatives and partnerships. Our organization, founded in 1908, is New Mexico’s largest private employer with nearly 14,000 employees, serving over 580,000 members through various health plans. AA/EOE/VET/DISABLED. PHS is a drug-free, tobacco-free employer with smoke-free campuses. Maximum offer: up to USD $37.58/hr. Compensation depends on experience, training, and organizational needs.
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Senior Quality Improvement Abstractor . This role oversees and performs Medical Record Retrieval, Review, and Reporting processes to support HEDIS, STARs, HEDIS-Like, supplemental, and other regulatory reporting, as well as PHP Board-approved health management initiatives across the enterprise. The Senior Abstractor assists with clinical decision-making, training, and quality oversight responsibilities. We are committed to caring for healthcare workers. Presbyterian is dedicated to improving lives — those of our patients and our staff. As a locally owned organization, we promote supportive leadership and opportunities for career growth from entry-level to senior positions. Why Join Us Full-Time, Exempt Position Location: Rev Hugh Cooper Admin Center Work Hours: Day Shift Benefits: Comprehensive package including medical, wellness, vision, dental, paid time off, retirement, and more for full-time employees. Ideal Candidate Qualifications: Bachelor’s Degree or equivalent experience (Associate degree plus 3 years of experience) Registered Nurse (RN) with at least 2 years of clinical experience or LVN/LPN with HEDIS experience and 3-4 years of clinical experience Knowledge of medical terminology, practices, coding, and data management Proficiency in Microsoft Office applications, including Excel and Access Responsibilities include but are not limited to:
Applying Performance Improvement tools for project planning, tracking, and reporting Developing data collection tools, analyzing data, and supporting quality initiatives Performing Medical Record Reviews to support quality and regulatory reporting (HEDIS, CMS Star, Medicaid, etc.) Managing provider caseloads, communicating progress, and ensuring timely medical record submissions Identifying clinical findings, documenting in HEDIS databases, and tracking outcomes Ensuring compliance with HIPAA and other policies, maintaining confidentiality Participating in audits, mentoring staff, and conducting site visits as needed Utilizing remote applications and tools for record abstraction and management Other duties include administrative tasks, training development, and travel as required. All benefits-eligible employees receive a comprehensive benefits package, including wellness programs designed to promote health and well-being. Presbyterian is committed to community health improvement through various initiatives and partnerships. Our organization, founded in 1908, is New Mexico’s largest private employer with nearly 14,000 employees, serving over 580,000 members through various health plans. AA/EOE/VET/DISABLED. PHS is a drug-free, tobacco-free employer with smoke-free campuses. Maximum offer: up to USD $37.58/hr. Compensation depends on experience, training, and organizational needs.
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