Certified Woman & Minority Owned

Quality Audit Specialist


Reference Number: KBILA121

Quality Audit Specialist
experience  Not Disclosed
location  Chicago, IL
duration  2.5 Months
salary  Not Disclosed
jobtype  Not Disclosed
Industry  Healthcare
duration  $43/hour - $48/hour
Job Description

Hybrid

Description:

This position supports the data collection of HEDIS clinical data set tied to technical specifications; auditing and review of electronic clinical records to ensure data accurately reflect medical record documentation to meet HEDIS regulatory compliance. Responsible for oversight and review of clinical data from Electronic Medical Records (EMRs) non-EMRs sources; auditing supplemental data files supplied by providers and vendors to improve HEDIS rates/results. This position impacts the integrity of the Medical Record validation process and HealthCare Effective Data & Information Set (HEDIS) Reporting.


Individual must demonstrate strong multi-tasking setting priorities based upon minimal direction including:

Strong Knowledge of Healthcare Effective Data & Information Set (HEDIS) type of reporting

Minimum of 3 year’s Healthcare industry experience; healthcare data

Strong experience with NCQA and HEDIS reporting, technical data analysis in formal audit formal audit environment.

Strong clinical quality auditing experience

Strong written and verbal skills; Self-starter problem solving abilities.

Strong PC proficiency including Word, Excel, PowerPoint, datasets, reporting tools with good multi-tasking skills

Strong understanding of Electronic Medical Record (EMRs) system from providers, vendors related to HEDIS interpretation

Conducts analysis and investigation on inquiries related to medical records data collection issues

Proven to be adept at navigating new systems and technology with little impact to your daily assignments

Experience with Coding or Certified Coding Certification with HEDIS experience



Notes:

Contract to Hire

Hybrid in Chicago



VIVA is an equal opportunity employer. All qualified applicants have an equal opportunity for placement, and all employees have an equal opportunity to develop on the job. This means that VIVA will not discriminate against any employee or qualified applicant on the basis of race, color, religion, sex, sexual orientation, gender identity, national origin, disability or protected veteran status

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