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HEDIS Auditor Trainees (13414)

Role overview

Summary

This role is for HEDIS Auditor Trainees who will learn and apply HEDIS concepts during training. You will report to the HEDIS QA Manager and prepare for the auditor position by mastering the necessary skills to support abstractors during their training and the live season.

Qualifications

  • Minimum 2 years/seasons of experience in HEDIS Abstraction / Review.
  • Medical Coder Certification: CPC, CCS, RHIT, RHIA through AAPC or AHIMA.
  • Licensed Nurse: LPN, LVN, RN with an active license.

Responsibilities

  • Learn and apply HEDIS concepts based on Technical Specifications and client guidance.
  • Complete all training modules and assessments within the defined timeline.
  • Achieve a base score of 97.5% overall in training evaluations.
  • Provide knowledge transfer to abstractors during their training phase.

Key facts

Hard skills

Other skills

  • Professionalism
  • Willingness To Learn

About the company

Advantmed logo

Advantmed

  • Digital Health
  • Large
  • 1,001–5,000
Advantmed is a privately held company founded in 2005. The organization initially focused on record retrieval but has evolved into an innovative healthcare information management company that helps health plans and Managed Care Organizations optimize revenue and improve quality outcomes. Our mission is to improve the healthcare system by ensuring appropriate, quality care and eliminating unnecessary costs. We accomplish this by providing a cost-effective suite of capabilities tailored to the unique needs of our clients, including NCQA-certified HEDIS® measure software, risk analytics, medical record retrieval, medical record abstraction, risk adjustment coding, data validation, prospective assessments, and provider education. Our strategy reflects our flexibility and commitment to meeting our clients' evolving needs. We work closely with our clients to understand their concerns, requirements, strategic objectives, and infrastructure so that we can support them accordingly. Our foundational principles are accuracy, efficiency, and transparency. Our solutions are designed to be user-friendly and flexible. We see ourselves as an extension of our clients’ internal teams, which allows us to work to advance our solutions and provide support for their growing business needs. Understanding how our clients use our products and services fuels our product development road map, especially in terms of technology as we continually work to improve our client portal. In addition, we regularly monitor statutory and regulatory changes from CMS, HHS, NCQA, and others. The Advantmed leadership team is composed of seasoned healthcare veterans, with extensive quality and risk adjustment expertise. The leadership team oversees a global staff of over 1,800 employees. Notably, we are HITRUST certified, and all data resides within the United States.

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Job description

Job Title: HEDIS Auditor Trainee
Job Types: Part-time, Seasonal.

Candidates must be able to commit to 20-40 hours per week during training and throughout the entire HEDIS season

Shift Hours: Applicant should be available to work from 6 AM to 6 PM EST.

This is a remote position available to candidates located within the United States. Applicants must be eligible to work in the United States.

Pay Structure:

  • The training pay rate is $25 per hour
  • Post Training completion, the pay rate increases to $30 per hour

HEDIS Auditor Trainee – Onshore

Remote position, reporting to HEDIS QA Manager during training phase.

HEDIS auditor trainee is responsible for learning and applying the concepts of HEDIS based on HEDIS Technical Specifications and client guidance as portrayed in Advantmed training material. 

This role involves training on HEDIS measures, which includes all recorded measure trainings, recorded demo records to ensure an understanding on how to abstract in the tool, any recorded supplemental training, supplemental and measure training assessments, and test records in the training portal.  

This role is a prerequisite for the auditor position where you will be providing knowledge transfer of the information you learned during training, to abstractors during their training phase and during the live season.

  • Must acquire a base score of 97.5% overall.
  • Complete all training in the defined timeline.
  • Must attempt all training as scheduled in the HEDIS training planner which will be provided on Day 1 of your training or communicate to HEDIS Manager with any changes in schedule.
  • Must have a professional attitude and willingness to learn.

Requirements

Qualifications:

  • Minimum 2 years/seasons of experience in HEDIS Abstraction / Review
  • Medical Coder Certification: CPC, CCS, RHIT, RHIA through AAPC or AHIMA OR
  • Licensed Nurse: LPN, LVN, RN with an active license

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