Remote HEDIS Auditor at Judge Group
Pennington, NJ
About the Job
Location: Pennington, NJ
Salary: $36.00 USD Hourly - $38.00 USD Hourly
Description: Our client is currently seeking a Remote HEDIS Auditor!
Contact: edemey@judge.com
Salary: $36.00 USD Hourly - $38.00 USD Hourly
Description: Our client is currently seeking a Remote HEDIS Auditor!
Job Details: Ongoing Contract (W2, Weekly Pay, Benefits Available)
Location: REMOTE
Location: REMOTE
Hours: Monday-Friday, Business Hours
Compensation: Competitive and based on experience
**1 Day of Orientation in December, Start Date 01/2025**
This job will have the following responsibilities:
Qualifications & Requirements:
This job will have the following responsibilities:
- Conducting quality audits for state audits, HEDIS and quality referral and complaints issues.
- Responsible for preparing weekly, monthly, quarterly and year-end reports.
- Conducts remote reviews of physicians medical records, and compliance with documentation standards.
- Prepares appropriate documentation to summarize on-site findings with physician, providing education and discussing opportunities for improvement.
- Provides data support services to facilitate the process and analyze trends/ patterns for quality improvement and health management.
- Assists the Quality Management department with various special projects and focused clinical studies.
- Responsible for analysis of audit findings and coordinating corrective action plan.
- Conducts re-audits ensuring prior deficiencies were addressed.
Qualifications & Requirements:
- Must have Active RN or LPN license (any state or compact)
- Must have recent HEDIS experience at a Health Plan
All qualified and interested candidates, please send your most updated resumes to edemey@judge.com for immediate consideration!
Contact: edemey@judge.com
This job and many more are available through The Judge Group. Find us on the web at www.judge.com