Quality Audit Specialist

Title: Quality Audit SpecialistType: Contract to HireLocation: Chicago, Illinois (Onsite/Hybrid)Schedule: 8-hour day shift, 40 hours/weekDescription:This position supports the data collection of HEDIS clinical data set tied to technical specifications; auditing and review of electronic clinical records to ensure data accurately reflect medical record documentation to meet HEDIS regulatory compliance. Responsible for oversight and review of clinical data from Electronic Medical Records (EMRs) non-EMRs sources; auditing supplemental data files supplied by providers and vendors to improve HEDIS rates/results. This position impacts the integrity of the Medical Record validation process and HealthCare Effective Data & Information Set (HEDIS) Reporting.Individual must demonstrate strong multi-tasking setting priorities based upon minimal direction including:Strong Knowledge of Healthcare Effective Data & Information Set (HEDIS) type of reportingMinimum of 3 year’s Healthcare industry experience; healthcare dataStrong experience with NCQA and HEDIS reporting, technical data analysis in formal audit formal audit environment.Strong clinical quality auditing experienceStrong written and verbal skills; Self-starter problem solving abilities.Strong PC proficiency including Word, Excel, PowerPoint, datasets, reporting tools with good multi-tasking skillsStrong understanding of Electronic Medical Record (EMRs) system from providers, vendors related to HEDIS interpretationConducts analysis and investigation on inquiries related to medical records data collection issuesProven to be adept at navigating new systems and technology with little impact to your daily assignmentsExperience with Coding or Certified Coding Certification with HEDIS experienceRequired QualificationAbility to communicate complex findings to both technical and non-technical audiences.