RN Coder

w3r Consulting

Full-time Insurance
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Location
chicago, il, United-States
Posted
June 11, 2026

Job Description

  • Title: Quality Audit Specialist
  • Type: Contract to Hire
  • Location: Chicago, Illinois (Onsite/Hybrid)
  • Schedule: 8-hour day shift, 40 hours/week


Description:

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 prior...