Healthcare Quality Specialist - HEDIS & Chart Audits
Suvida
Suvida Healthcare seeks a Quality Specialist to close care gaps, document for payers, and audit data to improve HEDIS measures. You will collaborate with clinic staff and the Director of Quality to ensure accurate reporting and staff education. The role requires 4+ years in value-based care, 2+ years in HEDIS/Risk Adjustment, and proficiency with payer portals, CMS STARS knowledge, and basic billing concepts. Based in the DFW area, 8-5 CST, Monday–Friday. #J-18808-Ljbffr Suvida
- ...Suvida Healthcare in Garland, Texas, is seeking a Specialist, Quality to work closely with clinic staff to identify gaps in care, capture HEDIS documentation, and perform chart audits. You will collaborate with the Director of Quality to enhance patient engagement and...HEDIS
- At Suvida Healthcare, we are not just caregivers; we’re compassionate advocates... ...consumer experience that improves the quality of life for the people, families,... ...to identify gaps in care, capture HEDIS documentation, perform chart audits, track patient engagement in care...HEDISContract workLocal areaMonday to Friday
- ...Health is a total solutions partner for healthcare data auditing and analytics. Altegra provides end-to... ...Altegra Health specializes in: ~2. HEDIS ~3. Medical Record Reviews (... ...of 2015 and Coders will be paid by the chart. Remote Certified Coders review medical...HEDISTemporary workRemote workWork from home
- Suvida Healthcare in Dallas, Texas, is looking for a Specialist, Quality to enhance care quality for Medicare-eligible Hispanic seniors. In this role, you... ...clinic staff to address care gaps, conduct audits, and educate on HEDIS specifications. The ideal candidate will...HEDIS
- ...with outpatient or inpatient hospital coding compliance or coding auditing experience. CPC or CCS certification. Responsibilities:... ...CPT codes based on documentation and/or payer requirements HEDIS measures CAT II code reporting for HTN, diabetes, obesity, and...HEDISShift work
- Who We Are At Suvida Healthcare, we are compassionate advocates... ...that improves the quality of life for the people,... ...more… Position Summary The Specialist, Quality will work closely... ...gaps in care, capture HEDIS documentation, perform chart audits, track patient engagement...HEDISLocal areaMonday to Friday
$21.15 - $25 per hour
...data collaboration platform trusted for healthcare. Guided by our mission to make the world... ...Schedule: M - F 8 - 4:30 Conduct structured audits of ROI (Release of Information) requests... ...request and fulfillment workflows for quality, accuracy, and adherence to SOPs...Hourly pay- Suvida Healthcare is seeking a Quality Analyst to work closely with clinic staff to enhance healthcare quality for seniors. This role involves auditing, educating, and ensuring compliance for care gaps in a Medicare-focused environment. Candidates must possess a Bachelor...HEDIS
- ...improve the member experience. Compliance & Quality Ensure the clinic complies with HIPAA,... .... Support clinical teams in closing HEDIS and other quality measure gaps that contribute... ...& EXPERIENCE Bachelor's degree in healthcare administration, business, or related field...HEDISLocal area
- ...Confident Staff Solutions is a leading staffing agency in the healthcare industry, specializing in providing top talent to healthcare organizations... ...them with highly skilled and qualified professionals. HEDIS Course We are offering a HEDIS course to individuals looking...HEDISRemote work
- A healthcare staffing agency is seeking a Review Nurse for a contract assignment starting immediately. The role involves medical record abstractions and overreads during the HEDIS survey, requiring a Registered Nurse or Licensed Practical Nurse with experience in HEDIS...HEDISContract workImmediate start
- ...Longevity, we're dedicated to advancing healthcare through innovation, compassion, and excellence... ...Healths purpose: To optimize the quality of life of people in long-term care by focusing... ...A and B services, medication reviews, HEDIS and STARs quality gap closure, and...HEDIS
- ...Plans (I-SNP), created to meet the complex healthcare needs of nursing home residents. Since... ...strategic partnerships to deliver high-quality, patient-centered care. We are actively... ...Part A and B services, medication reviews, HEDIS and STARs quality gap closure, and...HEDIS
$48.9k - $66.2k
...Medical Records Experience with HEDIS Knowledge of primary care... ...personal wellness and smart healthcare decisions for you and your... ..., nurses, behavioral health specialists and more, spend up to 50 percent... ...we do. The result is high-quality healthcare that is accessible...HEDIS- OverviewThe Infosys Healthcare unit is dedicated to transforming the healthcare industry by leveraging cutting-edge AI-driven solutions to... ...AnalystPayerHealthcarePreferred Skill and ExperienceFHIR/HEDIS/Enrollment/SalesforceAdditional Required Qualifications• Bachelor...HEDISFull timeTemporary workRelocation
$150k - $200k
...clinicians committed to delivering high‑quality, proactive care directly to residents in... ...facilities. Our partnership with MedElite Healthcare Management Group empowers us to focus on... ...knowledge of CMS regulations and NCQA HEDIS guidelines Document accurate medical records...HEDISFull timeTemporary workRelocation package- UT Southwestern Medical Center is seeking a Quality Assurance LVN to implement the Quality Improvement Program and review clinical charting for compliance with standards. You will conduct audits, monitor compliance, and participate in quality assurance activities. The...
$99k - $232k
...and inspire others to deliver quality. You are responsible for... ...refer to specific PwC tax and audit guidance), the Firm's code of... ...making a significant impact in healthcare.Responsibilities- Apply advanced... ...- Familiarity with NCQA HEDIS specifications and CMS Star Ratings...HEDISFull timeH1b- ...and overreads during the annual Healthcare Effectiveness Data and Information Set (HEDIS) survey. The review nurse is responsible... ...the HEDIS survey Perform quality reviews of abstracted medical... ..., and /or Quality Management Specialist/ designee to discuss project status...HEDISRemote jobContract workImmediate start
- ...At Suvida Healthcare, we are not just caregivers; we're compassionate advocates dedicated... ...and consumer experience that improves the quality of life for the people, families, and neighborhoods... ...chronic diseases (i.e. COPD, DM, CHF), HEDIS strategies to close gaps, clinic...HEDISWork at officeLocal area
- ...a passion to help others? Transforming healthcare and millions of lives as a result starts... ...managed care contracts; understanding of HEDIS and HCC coding; management breadth to direct... ...development and leadership to ensure quality services to all customersDelegate,...HEDISContract workWork experience placementWork at officeLocal areaWork from home
- ...management, documentation of visits, and high-quality patient care delivery to Grace at Home... ...care in the home, Value Based Care, HEDIS and Stars, documentation and coding, and... ...will stay informed about advancements in healthcare practices and disseminate relevant...HEDISTemporary workLive inWork at officeLocal areaRemote workRelocation package
- ...and the community for the provision of quality and cost effective care. Acts as a champion... ...goals and objectives, including: HEDIS measures, ACO and related quality measures... ...in Business Administration, a Masters in Healthcare Administration or related experience preferred...HEDISHourly payFull timePart timeLocal areaShift work
- About the job Healthcare Medicare STARS Analyst About the Role: We are... ...metrics including HEDIS, CAHPS, HOS, and operational... ...Collaborate with internal teams (Quality, Clinical, Operations, IT, and... ...regulatory updates. Support audits, internal reviews, and CMS data...HEDIS
- ...the practice environment to assure patient safety and quality health outcomes, and contributes to HEDIS and designated quality measures. The individual... ...Certification/Registration/Licensure •Must have a current healthcare provider BLS for Healthcare Providers certification...HEDISWork at office
- ...seeking a seasoned Billing Auditor to join our healthcare administration team in Richardson, TX. The role focuses on pre-claim review, auditing medical records, and ensuring accurate... ...and unbilled accounts in EMR, and drive quality assurance across the revenue cycle....
$138.6k - $187.5k
...responsible for leading large-scale U.S. healthcare payer contact center operations across... ...while driving cost optimization, quality, and AI-led transformation. Responsibilities... ..., and portals Strong knowledge of CMS audits, HEDIS, STAR ratings, and G&A processes Lean...HEDIS- ...Med Clinic X is a healthcare technology company building modern digital health systems that... ...experience. Job Overview We are seeking a Quality Assurance Analyst to test and validate... ...Clinical Workflow Applications Verify medical chart documentation layouts and clinician...
$44.9k - $60.2k
...experience including knowledge of HEDIS, CPT/ICD coding, and CAHPS/... ...personal wellness and smart healthcare decisions for you and your... ...physicians, nurses, behavioral health specialists and more, spend up to 50... ...we do. The result is high-quality healthcare that is accessible...HEDISTemporary workFlexible hours$44.9k - $60.2k
...experience including knowledge of HEDIS, CPT/ICD coding, and CAHPS/... ...personal wellness and smart healthcare decisions for you and your... ...physicians, nurses, behavioral health specialists and more, spend up to 50... ...we do. The result is high-quality healthcare that is accessible...HEDISTemporary workApprenticeshipFlexible hours
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