w3r Consulting ยท 11 hours ago
Healthcare Quality Audit Analyst
w3r Consulting is seeking a Clinical Quality Audit Specialist to ensure accuracy and compliance in electronic clinical records. This role involves auditing clinical records, overseeing data abstraction, and supporting quality measures to improve documentation outcomes.
Responsibilities
Audit clinical records and supplemental files for accuracy and compliance
Oversee data abstraction processes from EMRs
Validate incoming data and maintain standard operating procedures (SOPs)
Educate providers and vendors on processes and requirements
Support audits and onboarding activities
Analyze data-related issues and collaborate with technical teams
Ensure high accuracy and maintain confidentiality at all times
Qualification
Required
Solid knowledge of NCQA HEDIS measures and medical coding
Proficiency in Microsoft Office Suite (Word, Excel, PowerPoint, SharePoint)
Familiarity with HIX, EMR, and EHR systems
Excellent attention to detail and ability to work independently