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HEDIS Quality Auditor RN / Onsite and Remote Opportunities available!

Company: MCR Health
Location: Bradenton
Posted on: May 3, 2021

Job Description:

We are expanding our Quality Teams! Would you like to become the newest member of a team that is dedicated to ensuring our community receives the best quality of care possible?

If yes - then come join us at MCR Health! We are a growing and dynamic healthcare organization that supports almost 1,000 staff. In addition to amazing health, vision, and dental insurance, our newest team members are offered a generous paid time off package plus 9 company paid holidays in their first year!

We offer both onsite* and remote opportunities!

*MCR Corporate Office- 700 8th Avenue West, Suite 101, Palmetto, FL 34221


As part of this role, you will:

  • Review medical charts in the EMR system for compliance with clinical quality measures from various quality programs such as HEDIS and UDS.
  • Monitor and trend clinical quality measure compliance.
  • Showcase the essential skills listed below:
    • Strong clinical quality measure knowledge
    • Clinical chart auditing
    • Clinical quality measure coding
    • Advance knowledge of Excel
  • Contact patients to schedule appropriate PCP appointments to close clinical quality measure care gaps.
  • Support the Clinical Care teams and help to ensure patients are receiving the best quality of care!

What you need to bring to this role:

  • High School Diploma or GED required
  • One of the following required:
    • Certified/Registered Medical Assistant with 5+ years clinical experience
    • Licensed Practical Nurse (LPN) with 3+ years clinical experience
    • Registered Nurse (RN) with 3+ years clinical experience
    • Bachelor's degree in healthcare related field with 5+ years quality auditing/improvement experience
  • 1+ years' experience with quality auditing/improvement activities required (3+ preferred)
  • If clinically licensed - Licensed RN/LPN in good standing with the Florida Board of Nursing required or current Certified/Registered Medical Assistant
  • 2+ years' experience using an electronic health record (EHR) software system required (Athena experience a plus)
  • Working knowledge of ICD-10 and CPT codes preferred
  • Proficient in Microsoft Office required
  • Valid driver license required with the ability to move between sites as needed (with mileage reimbursement)
  • Bilingual (Spanish/English) a plus
  • Excellent listening and interpersonal skills
  • Ability to effectively interact with patients/customers in stressful situations
  • Tech savviness and comfortable with technology
  • Polished in both personal appearance and interactions
  • Ability to maintain confidentiality and act with discretion
  • Detail oriented with an organized mind-set
  • Must be flexible, resourceful, and able to troubleshoot
  • Must be able to handle multiple tasks simultaneously and set priorities
  • Pride in the job you do and the image you present to our patients & visitors
  • A positive can-do attitude

**MCR Health is a drug free workplace. All job applicants selected for employment are required to submit to a pre-employment drug test and background check.



Job Posted by ApplicantPro

Keywords: MCR Health, Bradenton , HEDIS Quality Auditor RN / Onsite and Remote Opportunities available!, Other , Bradenton, Florida

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