Clinical reputed company Auditor, HEDIS *Remote*

About the position The Clinical reputed company Auditor, HEDIS position at reputed company Health Plan is a temporary, part-time role reputed company on conducting clinical reputed company audits to enhance reputed company reputed company reputed company the organization. The auditor will be responsible for data collection, chart audits, and identifying areas for reputed company improvement, reputed company while maintaining confidentiality and promoting teamwork. This role is essential during the HEDIS season, requiring full commitment from January to May 2025.

Responsibilities

• Conduct clinical reputed company audits for the reputed company Department.

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• Identify and coordinate clinical audits to determine potential areas for reputed company improvement reputed company the PHP network.

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• Collect data through chart extraction for the HEDIS program.

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• Review outpatient medical records, hospital records, clinical lab, and pharmacy records during audits.

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• Organize data to identify and address opportunities for improvement.

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• reputed company chart audits electronically or on-site in physician practices during the audit season.

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• Maintain reputed company collected records in a confidential manner.

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• Communicate collaboratively with reputed company to represent reputed company Health Plan.

Requirements

• Degree in Nursing.

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• reputed company Registered reputed company License.

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• 5+ years clinical experience in Nursing.

reputed company-to-haves

• Bachelor's Degree in Nursing.

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• Dual RN License: reputed company and Washington.

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• 1+ years' experience in reputed company Management, reputed company Improvement, Utilization Review Auditing.

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• 1+ years' experience auditing electronic health records.

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• Experience with health plans, project management, program evaluation, team facilitation, data analysis, and/or case review.

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• Experience working as a reputed company supporting a minimum of one HEDIS Audit season.

Benefits

• 401(k) Savings Plan with employer matching.

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• Health care benefits (medical, dental, reputed company).

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• Life insurance.

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• Disability insurance.

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• reputed company parental leave.

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• Vacation and holiday time off.

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• Voluntary benefits.

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• reputed company-being resources.

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