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Quality Assurance Representative
locations
Alpharetta – Windward Pkwy
Remote – US
time type
Part time
job requisition id
R30564
Change Healthcare is a leading healthcare technology company with a mission to inspire a better healthcare system. We deliver innovative solutions to patients, hospitals, and insurance companies to improve clinical decision making, simplify financial processes, and enable better patient experiences to improve lives and support healthier communities.
Work Location: Fully Remote – U.S.
Position:
Change Healthcare is hiring multiple Quality Assurance Representatives who will confirm that quality of services rendered meet audit standards by checking information against health plans to determine if measures met. This position reports to a HEDIS Measure Manager and will work with a dynamic team of seasonal remote HEDIS staff.
Core Responsibilities:
- Identify appropriate information from medical records according to NCQA HEDIS Technical Specifications and Change Healthcare guidelines
- Enter data into Change Healthcare proprietary software
- Provide coaching comments to abstractors for errors made, marking such with an appropriate error type
- Maintain accuracy thresholds as set forth by Change Healthcare
- Comply with HIPAA laws and regulations
Requirements:
- At least 2 years of recent HEDIS experience
- Either: RN, NP, PA, LPN, with a current license OR Certified Coder, RHIT or RHIA through AAPC or AHIMA
- Working knowledge of HIPPA requirements, recognizing a commitment to privacy, security, and the confidentiality of all medical chart and patient health information
- High-speed internet access and phone service
- Strong computer skills, including familiarity with internet applications and MS Office (e.g., Excel and Word)
- Availability to work a minimum of 20 hours per week
Preferred Qualifications:
- Availability to work up to 40 hours per week
- In addition to HEDIS experience, we look for Inpatient or Outpatient clinical experience in any of the following areas: pediatrics, health department, school nurse, medical surgical, cardiology, diabetes, oncology, OB/GYN, geriatrics, and urgent care.
Working Conditions/Physical Requirements:
- General office demands
Unique Benefits*:
- 100% work from home
- Flexible working schedule (20 minimum hours per week)
- Self-paced paid training
California / Colorado / New Jersey / New York / Rhode Island / Washington Residents Only:
The applicable base pay for your state is listed below. Pay is based on several factors including but not limited to education, work experience, certifications, etc. In addition to your salary, Change Healthcare offers benefits such as a comprehensive benefits package, incentive and recognition programs, equity and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with Change Healthcare, you’ll find a far-reaching choice of benefits and incentives.
Diversity, Equity & Inclusion:
At Change Healthcare, we include all. We celebrate ersity and inclusivity, respect each other and value our unique experiences. By being our authentic selves, we bring different perspectives into our work and relationships.
Business Resource Groups (BRGs) play a central role in advancing ersity and inclusion at Change Healthcare. They deepen our understanding of different cultures, people, and experiences, and help foster an inclusive workplace. Change offers eight (8) BRGs.