Healthcare Quality Assurance Specialist
20 hours ago
Healthcare Quality Assurance Specialist
This role involves reviewing medical records to ensure compliance with privacy standards and HEDIS measures. The ideal candidate will have a strong understanding of HEDIS and medical record review, as well as excellent organizational and Microsoft Office skills.
Responsibilities:
- Retrieve and review medical records while complying with privacy requirements
- Conduct medical record abstraction and research during the review project
- Use software applications to support HEDIS operations and data entry
- Ensure compliance with HIPAA and member confidentiality requirements
Requirements:
- At least two consecutive HEDIS seasons and two years clinical experience
- Proficiency in communication, interpersonal skills, and clinical practices
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