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Per Diem Clinical Quality Analyst - SME - National Remote


Pay$28.03 - $54.95 / hour
LocationDallas/Texas
Employment typePart-Time

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  • Job Description

      Req#: 2263217
      Employer Industry: Healthcare Services

      Why consider this job opportunity:
      - Salary up to $54.95 per hour
      - Comprehensive benefits package, including equity stock purchase and 401k contribution
      - Opportunity for career advancement and growth within the organization
      - Flexibility to telecommute from anywhere within the U.S.
      - Supportive and inclusive work culture focused on health equity and community impact

      What to Expect (Job Responsibilities):
      - Participate in medical record spot audits to ensure quality standards
      - Serve as a subject matter expert on NCQA's HEDIS® Technical Specifications
      - Provide leadership during abstraction and overread office hours
      - Review and respond to abstraction and overread questions and feedback
      - Conduct individual coaching sessions for abstractors/overreaders when quality issues are identified

      What is Required (Qualifications):
      - High School Diploma / GED
      - Minimum of 2 years of healthcare experience
      - At least 2 years of experience reviewing medical records
      - Minimum of 2 years of HEDIS® work experience with a focus on medical record review
      - Ability to work nights and/or weekends during peak seasons as needed

      How to Stand Out (Preferred Qualifications):
      - 2+ years of experience in a healthcare delivery organization
      - Knowledge of current trends in HEDIS® within managed healthcare
      - Familiarity with ICD-9-CM, CPT, DRG, LOINC, HCPCS, TOB, POS, NDC coding
      - Coding certificate from AAPC or AHIMA or clinical certification such as LPN, RN, or CNA
      - Proficiency in presentation skills to diverse audiences

      #HealthcareServices #HEDIS #ClinicalQuality #RemoteWork #CareerOpportunity
  • About the company

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