Remote HEDIS Quality Audit Specialist (Contract)

VIVA; United States; Remote; USD 70,000 - 110,000; Full time

Job summary

VIVA USA Inc. is seeking a contract HEDIS Data Analyst to support data collection and auditing of clinical records to ensure HEDIS regulatory compliance.

The role involves reviewing EMR and non-EMR data, auditing supplemental provider files, and ensuring accurate reflection of documentation. Ideal candidates have 3+ years of healthcare data experience, strong NCQA/HEDIS knowledge, and proficiency with MS Office and coding/value sets.

Qualifications

• HEDIS reporting experience and NCQA familiarity required.
• Experience auditing healthcare data and EMR-based records.
• Strong written and verbal communication; self-starter with problem solving.
• Familiarity with coding/value sets (CPT II, SNOMED, LOINC, ICD, HCPCS).

Responsibilities

• Audit and review of electronic clinical records to ensure HEDIS data accuracy.
• Oversee data from EMRs and non-EMR sources; audit supplemental files from providers.
• Analyze inquiries related to medical records data collection issues.
• Communicate complex findings to technical and non-technical audiences.

Skills

HEDIS reporting

NCQA knowledge

EMR data analysis

Code sets (CPT II, SNOMED, LOINC, ICD,

MS Office (Word, Excel, PowerPoint)

Communication of complex findings

Team collaboration

Tools

EMR systems

Job description

VIVA USA Inc. is seeking a contract HEDIS Data Analyst to support data collection and auditing of clinical records to ensure HEDIS regulatory compliance.

The role involves reviewing EMR and non-EMR data, auditing supplemental provider files, and ensuring accurate reflection of documentation. Ideal candidates have 3+ years of healthcare data experience, strong NCQA/HEDIS knowledge, and proficiency with MS Office and coding/value sets.