HEDIS Data Auditor (EMR/NCQA)

W3R Consulting; Illinois; On-site; USD 65,000 - 95,000; Full time

Job summary

W3R Consulting is seeking a detail-oriented HEDIS Data Specialist in Illinois to support data collection and validation of HEDIS clinical datasets. You will audit EMRs and supplemental files to improve accuracy and regulatory compliance, partnering with health plans and providers.

The role requires strong knowledge of HEDIS reporting, NCQA codes, and data analysis, with solid MS Office skills and the ability to navigate new systems independently.

Qualifications

• Strong knowledge of HEDIS reporting and NCQA requirements.
• Experience with healthcare data and auditing in a formal environment.
• Familiarity with CPT II, SNOMED, LOINC, ICD codes and related data sets.

Responsibilities

• Audit and review electronic medical records to ensure data accuracy for HEDIS.
• Oversee data collection from EMRs, non-EMR sources, and supplemental files.
• Communicate complex findings to both technical and non-technical audiences.

Skills

HEDIS reporting

Healthcare data

Data analysis

Audit experience

EMR systems

Coding knowledge

Communication skills

Self-learning

Team collaboration

Tools

MS Office

Excel

Job description

W3R Consulting is seeking a detail-oriented HEDIS Data Specialist in Illinois to support data collection and validation of HEDIS clinical datasets. You will audit EMRs and supplemental files to improve accuracy and regulatory compliance, partnering with health plans and providers.

The role requires strong knowledge of HEDIS reporting, NCQA codes, and data analysis, with solid MS Office skills and the ability to navigate new systems independently.