Location: Newark,NJ, USA
Walker HealthForce is seeking a LPN / LVN for a local contract job in Newark, New Jersey.
Job Description & RequirementsHEDIS Quality Auditor | Remote | Newark, NJ**Remote opportunity, but must be located in or near Newark, NJ**JOB DESCRIPTION• Conducts on-site/virtual reviews at participating provider offices to assess environment, quality of physicians medical records, and compliance with HEDIS documentation standards.• Attends HEDIS Measure and QMRM (documenting platform) training and passes with 100% accuracy.• Assists the Quality Management department with various special projects and focused clinical studies.• Assists in training of, providers on audit standards, off site.• In-house representative for chart chase audits.• Reviews supplemental data charts (approx. 50 charts per day) as assigned by team leads. Charts are audited and processed in the format provided through Excel.JOB REQUIREMENTS• 3 - 5 years of related business experience, preferably in health care industry• LPN or NJ RN license• Knowledge of managed care principles and medical terminology• Proficient with Microsoft applications (Excel, Outlook etc.) PREFERRED JOB REQUIREMENTS• Bachelor's Degree in related field• Knowledge of URAC accreditation standards and HEDIS principles• Knowledge of health management or patient education
Walker HealthForce Job ID #27960.
About Walker HealthForceWalker Healthforce is known as the dominant force of performance, precision, expertise, and integrity in the healthcare consulting community! As a certified WMBE, we provide end-to-end healthcare IT and clinical solutions to hospitals, health systems, and payer organizations, including Fortune 100 firms nationwide. We are healthcare experts, we're custom not commodity and we've been exceeding expectations for nearly 20 years. Join forces with us to experience unparalleled results today!
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