Role Details:
- Title: Quality Audit Specialist
- Location: Remote
- Schedule: Monday–Friday, 40 hours/week
- Start date : 8/6/2026
- Contract Duration: 5 months contract to hire role
Job Description:
We are hiring for a HEDIS Supplemental Data role that focuses on improving the electronic exchange of clinical data rather than traditional medical chart retrieval. This is a more analytical and problem-solving position that supports the collection, review, and validation of clinical data from Electronic Health Records (EHRs) to ensure accurate HEDIS reporting and regulatory compliance.
Key Responsibilities:
- Review and audit clinical data from Electronic Medical Records (EMRs/EHRs) and other data sources.
- Validate supplemental data received from providers and vendors to improve HEDIS quality measures.
- Support the extraction of clinical data from provider EHR systems into the client's data warehouse.
- Help transition HEDIS reporting from manual chart retrieval to automated electronic data exchange.
- Ensure the accuracy and integrity of medical record documentation for HEDIS reporting.
Required Experience:
- Recent HEDIS experience (within recent 2 years)
- Knowledge of HEDIS technical specifications and quality measures
- Experience reviewing medical records
- Clinical coding knowledge
- Experience working with Electronic Health Records (EHRs)
- RNs, LPN/LVN, Nurse Practitioner (NP), Certified Coders
Preferred Background:
- Health plans or managed care
- Large physician practices
- Outpatient quality improvement
- Outpatient clinical documentation
- HEDIS project management or support experience
Company Description
w3r Consulting is an award-winning, best-in-class Healthcare, Nursing consulting and management company.