Talent.com
HEDIS Coding Quality Auditor

HEDIS Coding Quality Auditor

VirtualVocationsKnoxville, Tennessee, United States
10 hours ago
Job type
  • Full-time
Job description

A company is looking for a Coding Quality Auditor, HEDIS.

Key Responsibilities

Conduct clinical quality audits and identify issues for quality improvement within the HEDIS project

Collect and organize data from various medical records for HEDIS compliance

Perform electronic chart audits and maintain confidentiality of collected records

Required Qualifications

Technical certification / licensure in Medical Assistant, Certified Nurse Assistant, or Licensed Practical Nurse

High School Diploma or GED

3 years of medical record audit experience and familiarity with electronic medical records

2 years of experience in HEDIS, quality management, or utilization review auditing

1 year of experience in the medical field as a Medical Assistant, Certified Nurse Assistant, or Licensed Practical Nurse

Create a job alert for this search

Coding Auditor • Knoxville, Tennessee, United States

Related jobs
  • Promoted
  • New!
CPC Certified Multispecialty Coder

CPC Certified Multispecialty Coder

VirtualVocationsKnoxville, Tennessee, United States
Part-time
A company is looking for a Part-time Multispecialty Coder - Physician.Key Responsibilities Code E / M for multispecialty physician outpatient and inpatient charges Code office-based procedures whe...Show moreLast updated: 20 hours ago
  • Promoted
  • New!
Pennsylvania Licensed Clinical Appeals Reviewer

Pennsylvania Licensed Clinical Appeals Reviewer

VirtualVocationsKnoxville, Tennessee, United States
Full-time
A company is looking for a Clinical Appeals Reviewer.Key Responsibilities Process appeals while ensuring compliance with regulatory milestones Review medical records for documentation and billin...Show moreLast updated: 18 hours ago
  • Promoted
Senior Healthcare Data Analyst

Senior Healthcare Data Analyst

VirtualVocationsKnoxville, Tennessee, United States
Full-time
A company is looking for a Senior Healthcare Data Analyst.Key Responsibilities Analyze medical and pharmacy claims to develop and maintain data products Apply advanced models and queries to reso...Show moreLast updated: 30+ days ago
  • Promoted
Medical Coder

Medical Coder

VirtualVocationsKnoxville, Tennessee, United States
Full-time
A company is looking for a Coder - Medical Coding (work from home Pennsylvania resident).Key Responsibilities Review and analyze medical records to identify diagnoses and procedures for coding T...Show moreLast updated: 30+ days ago
  • Promoted
  • New!
AI Coding Consultant

AI Coding Consultant

VirtualVocationsKnoxville, Tennessee, United States
Full-time
A company is looking for a Freelance Developer Consultant (Kotlin) - AI Trainer.Key Responsibilities Code generation and code review Training and evaluation of large language models Collaborati...Show moreLast updated: less than 1 hour ago
  • Promoted
  • New!
New Mexico Licensed Coding Auditor

New Mexico Licensed Coding Auditor

VirtualVocationsKnoxville, Tennessee, United States
Full-time
A company is looking for a Coding Quality Auditor, HEDIS who will conduct clinical quality audits and data collection for quality improvement. Key Responsibilities Conduct clinical quality audits ...Show moreLast updated: 10 hours ago
  • Promoted
Health Information Specialist I

Health Information Specialist I

VirtualVocationsKnoxville, Tennessee, United States
Full-time
A company is looking for a Health Information Specialist I - OnBase Indexer.Key Responsibilities : Perform chart processing functions including preparation, scanning, indexing, and quality review ...Show moreLast updated: 1 day ago
  • Promoted
Pre-Certification Coordinator

Pre-Certification Coordinator

VirtualVocationsKnoxville, Tennessee, United States
Full-time
A company is looking for a Pre-Certification Coordinator I (Remote) - Surgery.Key Responsibilities Initiates and facilitates the pre-determination process with insurance companies Maintains dail...Show moreLast updated: 30+ days ago
  • Promoted
CPC Certified Medical Coder

CPC Certified Medical Coder

VirtualVocationsKnoxville, Tennessee, United States
Full-time
A company is looking for a Medical Coder I.Key Responsibilities Manage multiple coding related projects ensuring compliance with standards and timely deliverables Stay updated on coding guidelin...Show moreLast updated: 30+ days ago
  • Promoted
Behavioral Health Coding Auditor

Behavioral Health Coding Auditor

VirtualVocationsKnoxville, Tennessee, United States
Full-time
A company is looking for a Coding and Compliance Auditor-Behavioral Health.Key Responsibilities : Perform operational and financial audits of provider claims to identify overpayments and resolve r...Show moreLast updated: 1 day ago
  • Promoted
  • New!
Freelance AI Coding Consultant

Freelance AI Coding Consultant

VirtualVocationsKnoxville, Tennessee, United States
Full-time
A company is looking for a Freelance Developer Consultant (Kotlin) - AI Trainer.Key Responsibilities Code generation and code review Training and evaluation of large language models Collaborati...Show moreLast updated: less than 1 hour ago
  • Promoted
Healthcare Compliance Auditor

Healthcare Compliance Auditor

VirtualVocationsKnoxville, Tennessee, United States
Full-time
A company is looking for a Healthcare Compliance Auditor - Enterprise Risk.Key Responsibilities Assist in reviewing coding, billing, and claims processing policies to develop compliance monitors ...Show moreLast updated: 2 days ago
  • Promoted
  • New!
Montana Licensed Coding Quality Auditor

Montana Licensed Coding Quality Auditor

VirtualVocationsKnoxville, Tennessee, United States
Full-time
A company is looking for a Coding Quality Auditor, HEDIS who will conduct clinical quality audits and improve quality within the HEDIS project. Key Responsibilities Conduct clinical quality audits...Show moreLast updated: 10 hours ago
  • Promoted
  • New!
Oregon Licensed Coding Quality Auditor

Oregon Licensed Coding Quality Auditor

VirtualVocationsKnoxville, Tennessee, United States
Full-time
A company is looking for a Coding Quality Auditor, HEDIS who will conduct clinical quality audits and improve data collection processes. Key Responsibilities Conduct clinical quality audits and id...Show moreLast updated: 10 hours ago
  • Promoted
  • New!
Radiation Oncology Coder

Radiation Oncology Coder

VirtualVocationsKnoxville, Tennessee, United States
Full-time
A company is looking for a Radiation Oncology Coder Remote.Key Responsibilities Review accounts for accuracy using the charge capture audit system in compliance with guidelines Compare medical r...Show moreLast updated: 14 hours ago
  • Promoted
  • New!
Certified Medical Coder III

Certified Medical Coder III

VirtualVocationsKnoxville, Tennessee, United States
Full-time
A company is looking for a Medical Coder III with Cardiology experience.Key Responsibilities Review and submit 64 encounters per day related to various cardiology services Maintain coding knowle...Show moreLast updated: 2 hours ago
  • Promoted
Michigan Licensed Clinical Document Specialist

Michigan Licensed Clinical Document Specialist

VirtualVocationsKnoxville, Tennessee, United States
Full-time
A company is looking for a Clinical Document Specialist for a full-time remote position.Key Responsibilities Utilize clinical, coding, and Clinical Documentation Integrity (CDI) knowledge to enha...Show moreLast updated: 1 day ago
  • Promoted
Health Information Analyst

Health Information Analyst

VirtualVocationsKnoxville, Tennessee, United States
Full-time
A company is looking for a Health Information Discharge Analyst I.Key Responsibilities Reviews inpatient records to ensure completion of discharge summaries and identifies deficiencies Updates d...Show moreLast updated: 30+ days ago