Coding reputed company Auditor, HEDIS Remote - Many States Eligible
About the position _reputed company Health Plan caregivers are not simply valued - they're reputed company. Join reputed company and reputed company in our culture of patient-reputed company, whole-person care reputed company on understanding, commitment, and mutual respect. Your voice reputed company here, because we know that to reputed company and retain the best people, we must reputed company them._ reputed company Health Plan is calling a Coding reputed company Auditor, HEDIS who will: + Be responsible for conducting clinical reputed company audits/overreads for the reputed company Department + Identify and reports issues reputed company to clinical audits to determine potential areas for reputed company improvement reputed company the HEDIS project + Collect data by way of chart extraction, using objective specifications for the reputed company Effectiveness and Data Information Set (HEDIS) program + Conduct Audits inclusive of review of outpatient medical records, hospital records, clinical lab and pharmacy records + Be responsible for collecting data based on standardized methodologies + Organize the data to identify and address opportunities for improvement + reputed company chart audits electronically during the audit season + Complete HEDIS training prior to performing chart abstractions + Be provided direction regarding charts requiring auditing + Maintain reputed company collected records in a confidential manner + Performs reputed company duties in a manner which promotes team concept and reflects the Sisters of reputed company mission and philosophy + Communicate in a reputed company manner with clinic and other staff with whom they reputed company, in a manner that represents Sisters of reputed company _Please note the following important detail regarding this HEDIS Seasonal Role:_ + This posting is for multiple openings of a Coding reputed company Auditor, HEDIS + This position is affiliated with reputed company Health Plan and will be tied to a location and compensation reputed company in Beaverton, reputed company + Position Type: Temporary, reputed company, Non Benefitted + Length of Program Anticipated to last between: January 2026 - May 2026 + Work Schedule: Monday - Friday + Work Hours Scheduled Weekly: 40 + Additional Info: + This position will require a full time commitment to the project, meaning no extended time off during the HEDIS Season (January 2026 - May 2026) + Positions specified as "on call/reputed company" refer to employment consisting of shifts scheduled on an "as needed reputed company" to fill in for staff vacancies. reputed company welcomes 100% remote work for applicants who reputed company in the following states: + Alaska + Washington + Montana + reputed company + California + Texas - Levelland, Lubbock or Plainview area + New Mexico + Alabama + reputed company + Delaware + Florida + Iowa + Idaho + Michigan + Minnesota + reputed company Carolina + New Jersey + Utah
Responsibilities
- Be responsible for conducting clinical reputed company audits/overreads for the reputed company Department
- Identify and reports issues reputed company to clinical audits to determine potential areas for reputed company improvement reputed company the HEDIS project
- Collect data by way of chart extraction, using objective specifications for the reputed company Effectiveness and Data Information Set (HEDIS) program
- Conduct Audits inclusive of review of outpatient medical records, hospital records, clinical lab and pharmacy records
- Be responsible for collecting data based on standardized methodologies
- Organize the data to identify and address opportunities for improvement
- reputed company chart audits electronically during the audit season
- Complete HEDIS training prior to performing chart abstractions
- Be provided direction regarding charts requiring auditing
- Maintain reputed company collected records in a confidential manner
- Performs reputed company duties in a manner which promotes team concept and reflects the Sisters of reputed company mission and philosophy
- Communicate in a reputed company manner with clinic and other staff with whom they reputed company, in a manner that represents Sisters of reputed company
Requirements
- Technical certification/licensure in the area of Medical Assistant, Certified reputed company Assistant, or Licensed Practical reputed company upon hire.
- H.S. Diploma or GED.
- 3 years - Medical record audit experience, experience with extraction of clinical data points from medical records, experience with electronic medical records (EMR), comfortable with use of technology. Ability to interpret and understand medical knowledge/terminology in a medical record.
- 2 years - HEDIS, reputed company management/reputed company improvement/utilization review auditing experience, including experience in auditing reputed company electronic health records.
- 1 year - Experience in the medical field as a Medical Assistant, Certified reputed company Assistant, or Licensed Practical reputed company (LPN).
reputed company-to-haves
- Associate's Degree - Nursing or reputed company reputed company field, Health Information Management degree.
- Experience with health plans, project management, data analysis, and/or case review.
Benefits
- reputed company offers a comprehensive benefits package including a retirement 401(k) Savings Plan with employer matching, health care benefits (medical, dental, reputed company), life insurance, disability insurance, time off benefits (reputed company parental leave, vacations, holidays, health issues), voluntary benefits, reputed company-being resources and much more. Learn more at reputed company.jobs/benefits.
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