Healthcare Consultant II

US Tech Solutions; United States; Remote; USD 60,000 - 80,000; Full time

Job summary

A leading staffing firm in the United States is seeking an experienced HEDIS Medical Record Auditor. In this role, you will audit and oversee the medical record collection for HEDIS quality reporting, ensuring compliance with standards. Candidates should have a minimum of 5 years of experience in medical record audits, strong knowledge of medical terminology, and proficiency in tools like Microsoft Office and Adobe Reader. This position offers a contract duration of 6+ months with competitive working hours.

Qualifications

• Minimum 5+ HEDIS seasons of experience in medical record review and abstraction.
• Strong knowledge of medical terminology and ability to read and interpret medical records.
• Experience with chart audits and quality reporting.

Responsibilities

• Audit information entered into abstraction and data entry systems based on HEDIS Technical Specifications.
• Review, interpret, and annotate clinical criteria from medical records using Adobe PDF.
• Maintain confidentiality of Protected Health Information (PHI) in accordance with HIPAA Privacy and Security Rules.

Skills

Reviewing

Abstracting

Auditing

Education

RN/LVN license

Associate or Bachelor’s degree

Tools

Microsoft Office (Word, Excel, Outlook)

Adobe Reader

database systems

Job description

Timing: Monday thru Friday, 8 hours worked, between 8am to 5pm local time

Duration: 6 + months contract

Job Description

We are seeking an experienced HEDIS Medical Record Auditor to participate in the audit and oversight of the medical record collection and review process for HEDIS quality reporting. In this role, you will review medical records, annotate via Adobe PDF, and audit data within a collection tool to ensure compliance with HEDIS and CMS performance measures. Training will be provided prior to the start of the assignment.

Responsibilities

• Audit information entered into abstraction and data entry systems based on HEDIS Technical Specifications.
• Review, interpret, and annotate clinical criteria from medical records using Adobe PDF.
• Monitor, validate, and audit data to ensure accuracy and compliance with regulatory, accreditation, and risk management requirements.
• Maintain project productivity while meeting accuracy and quality standards.
• Identify trends and document areas for process improvement.
• Attend all required training sessions and project-related conference calls.
• Maintain confidentiality of Protected Health Information (PHI) in accordance with HIPAA Privacy and Security Rules.

Skills

• Reviewing
• Abstracting
• Auditing

Experience

• Minimum 5+ HEDIS seasons of experience in medical record review and abstraction.
• Strong knowledge of medical terminology and ability to read and interpret medical records.
• Proficiency in Microsoft Office (Word, Excel, Outlook), Adobe Reader, and database systems.
• Experience with chart audits and quality reporting.
• Strong organizational, time management, and problem-solving skills.
• Excellent verbal and written communication skills with attention to detail.
• Ability to work independently, meet deadlines, and maintain accuracy in a fast-paced environment.

Education

• RN/LVN license with Associate or Bachelor’s degree (preferred, not required).
• Prior experience performing medical chart audits in payer or provider settings.

About US Tech Solutions

US Tech Solutions is a global staff augmentation firm providing a wide range of talent on-demand and total workforce solutions. To know more about US Tech Solutions, please visit www.ustechsolutions.com.

US Tech Solutions is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.