HEDIS Quality Data Auditor

SmartRecruiters, Inc.; Spring Hill (FL); On-site; USD 60,000 - 90,000; Full time

Benefits offered by this job

Medical insurance

Dental insurance

Vision insurance

Flexible schedules

Training & development

Job summary

HealthCare Support Staffing, Inc. (HSS) is a national healthcare recruiting and staffing firm seeking qualified professionals for data-driven roles focusing on HEDIS measurements and audits.

The position emphasizes compliance, reporting, and collaboration with regulatory agencies to ensure quality care delivery. The role supports RN, LPN, Medical Coder, or Medical Records Specialist candidates with full-time hours, Monday–Friday daytime, and opportunities for professional development within a

Qualifications

• Must be RN, LPN, Medical Coder, or Medical Records Specialist.
• 3+ years of experience with HEDIS measurements and HEDIS auditing.
• Managed Care experience.

Responsibilities

• Collects data for ambulatory medical record reviews and compliance with provider preventive health and chronic disease outcome improvement interventions
• Prepares reports and quality improvement studies in an accurate, concise and timely fashion
• Conducts internal auditing for compliance with regulatory and accreditation standards, and monitors and provides consultation to departments to correct deficiencies
• Communicates with external data sources as needed to gather data necessary to measure identified outcomes
• Collects and summarizes performance data and identifies opportunities for provider improvement
• Participates in site visit preparation and execution by regulatory and accreditation agencies (State agencies, CMS, AAAHC, URAC, NCQA,EQRO)

Skills

HEDIS auditing

HEDIS measurements

Managed Care experience

RN licensure

LPN licensure

Medical Records experience

Job description

HealthCare Support Staffing, Inc. (HSS) is a national healthcare recruiting and staffing firm seeking qualified professionals for data-driven roles focusing on HEDIS measurements and audits.

The position emphasizes compliance, reporting, and collaboration with regulatory agencies to ensure quality care delivery. The role supports RN, LPN, Medical Coder, or Medical Records Specialist candidates with full-time hours, Monday–Friday daytime, and opportunities for professional development within a