Junior Quality Improvement Analyst — HEDIS & RAF Focus

Astiva Health, Inc.; Orange (CA); On-site; USD 50,000 - 70,000; Full time

Benefits offered by this job

401(k)

Dental Insurance

Health Insurance

Life Insurance

Vision Insurance

Paid Time Off

Free catered lunches

Job summary

A leading healthcare provider in California is seeking a Junior Quality Improvement Coder to enhance care quality by analyzing data and ensuring accurate coding. The ideal candidate should possess a certified coding certificate and have up to one year of relevant experience. Responsibilities include conducting reviews of documentation for compliance with HEDIS and Medicare regulations. This role also requires collaboration with providers and participating in meetings to improve service delivery. The position offers comprehensive benefits including Health Insurance and Paid Time Off.

Qualifications

• 0 - 1 year of coding experience in a quality improvement role.
• Certification in coding required.
• Strong understanding of coding principles, HEDIS, and Risk Adjustment.

Responsibilities

• Analyze data to evaluate HEDIS and Risk Adjustment Factor.
• Conduct internal reviews of documentation and billing.
• Ensure accurate coding using official guidelines.

Skills

Knowledge of HEDIS

Coding principles

Data analysis

Confidentiality (HIPAA)

Communication skills

Education

Certified Coding certificate

Job description

A leading healthcare provider in California is seeking a Junior Quality Improvement Coder to enhance care quality by analyzing data and ensuring accurate coding. The ideal candidate should possess a certified coding certificate and have up to one year of relevant experience. Responsibilities include conducting reviews of documentation for compliance with HEDIS and Medicare regulations. This role also requires collaboration with providers and participating in meetings to improve service delivery. The position offers comprehensive benefits including Health Insurance and Paid Time Off.