HEDIS Data Quality Analyst - Healthcare Analytics

Innovative Systems Group; Illinois; On-site; USD 54,000 - 77,000; Full time

Job summary

Innovative Systems Group is hiring for a HEDIS data quality analyst to support data collection, auditing, and validation of healthcare records for HEDIS compliance. You will audit EMR and non-EMR data, ensure accuracy of coding and measure values, and drive improvements in HEDIS results.

The role requires strong knowledge of HEDIS reporting, NCQA measures, and experience with CPT II, SNOMED, LOINC, ICD, HCPCS coding. Excellent communication and MS Office skills are needed.

Qualifications

• Experience with HEDIS reporting and NCQA/quality measures.
• Familiar with SHEDIS value sets and related code sets (CPT II, SNOMED, LOINC, ICD, HCPCS).
• Strong clinical data auditing experience in healthcare.
• Proficient in MS Office and data reporting tools.

Responsibilities

• Support data collection of HEDIS datasets to meet regulatory requirements.
• Audit and review electronic medical records for accuracy against documentation.
• Oversee and review data from EMRs and other sources to improve HEDIS results.
• Communicate complex findings to technical and non-technical audiences.

Skills

HEDIS reporting

NCQA

HEDIS codes

CPT II

SNOMED

LOINC

ICD

HCPCS

EMR systems

Data analysis

Auditing

MS Office

Healthcare experience

Communication

Tools

MS Office Suite

EMR systems

Reporting tools

Job description

Innovative Systems Group is hiring for a HEDIS data quality analyst to support data collection, auditing, and validation of healthcare records for HEDIS compliance. You will audit EMR and non-EMR data, ensure accuracy of coding and measure values, and drive improvements in HEDIS results.

The role requires strong knowledge of HEDIS reporting, NCQA measures, and experience with CPT II, SNOMED, LOINC, ICD, HCPCS coding. Excellent communication and MS Office skills are needed.