Montana Licensed Coding Quality Auditor

Job Summary

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 and identify areas for quality improvement
• Collect and organize data from medical records following HEDIS specifications
• Maintain confidentiality of records and collaborate with clinic staff

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 HEDIS or quality management auditing experience
• 1 year of experience in the medical field as a Medical Assistant, Certified Nurse Assistant, or LPN