Overview
Remote
Depends on Experience
Contract - W2
Job Details
HEDIS Quality Auditor | Remote | Newark, NJ | Contract
Walker Healthforce is seeking a HEDIS Quality Auditor for a healthcare client located in Newark, NJ. This is a contract position.
Start Date: ASAP
Walker Healthforce Standard Perks:
JOB DESCRIPTION
JOB REQUIREMENTS
PREFERRED JOB REQUIREMENTS
Contact our Recruiting Team today to experience the Walker Healthforce difference!
ABOUT US
Walker Healthforce is known as the dominant force of performance, precision, expertise, and integrity in the healthcare consulting community! As a certified WMBE, we provide end-to-end healthcare IT and clinical solutions to hospitals, health systems, and payer organizations, including Fortune 100 firms nationwide. We are healthcare experts, we’re custom not commodity and we’ve been exceeding expectations for nearly 20 years. Join forces with us to experience unparalleled results today!
We are an Equal Opportunity Employer committed to a culturally diverse workforce. All qualified applicants will receive consideration for employment without regard to race, religion, color, age, sex, national origin, sexual orientation, gender identity, disability status or protected veteran status.
#IND1
Walker Healthforce is seeking a HEDIS Quality Auditor for a healthcare client located in Newark, NJ. This is a contract position.
Start Date: ASAP
Walker Healthforce Standard Perks:
- Weekly pay via Direct Deposit
- Medical, Dental, and Vision Available
- 401K
JOB DESCRIPTION
- Conducts on-site/virtual reviews at participating provider offices to assess environment, quality of physicians medical records, and compliance with HEDIS documentation standards.
- Attends HEDIS Measure and QMRM (documenting platform) training and passes with 100% accuracy.
- Assists the Quality Management department with various special projects and focused clinical studies.
- Assists in training of, providers on audit standards, off site.
- In-house representative for chart chase audits.
- Reviews supplemental data charts (approx. 50 charts per day) as assigned by team leads. Charts are audited and processed in the format provided through Excel.
JOB REQUIREMENTS
- 3 - 5 years of related business experience, preferably in health care industry
- LPN or NJ RN license
- Knowledge of managed care principles, HEDIS and medical terminology
- Proficient with Microsoft applications (Excel, Outlook etc.)
PREFERRED JOB REQUIREMENTS
- Bachelor's Degree in related field
- Knowledge of URAC accreditation standards and HEDIS principles
- Knowledge of health management or patient education
Contact our Recruiting Team today to experience the Walker Healthforce difference!
ABOUT US
Walker Healthforce is known as the dominant force of performance, precision, expertise, and integrity in the healthcare consulting community! As a certified WMBE, we provide end-to-end healthcare IT and clinical solutions to hospitals, health systems, and payer organizations, including Fortune 100 firms nationwide. We are healthcare experts, we’re custom not commodity and we’ve been exceeding expectations for nearly 20 years. Join forces with us to experience unparalleled results today!
We are an Equal Opportunity Employer committed to a culturally diverse workforce. All qualified applicants will receive consideration for employment without regard to race, religion, color, age, sex, national origin, sexual orientation, gender identity, disability status or protected veteran status.
#IND1
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