Job Description

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 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 At least 5 years of clinical experience in any of the following areas: pediatrics health department school nurse medical surgery cardiology diabetes well child/adolescents oncology OB/GYN geriatrics and pre-natal.Working Conditions/Physical Requirements: General office demandsUnique Benefits*: 100% work from home Flexible working schedule (20 minimum hours per week) Self-paced paid training Colorado Residents Only: The base pay range for Colorado residents is $0.00 - $0.00 plus any relevant incentive pay programs that may be aligned to the role. Pay is based on several factors including but not limited to education work experience certifications etc. In addition to your base pay Change Healthcare offers the following benefits for this position subject to applicable eligibility requirements: Health dental and vision plans; wellness program; health savings account; flexible spending accounts; 401(k) retirement plan; life insurance; short-term and long-term disability insurance; Employee Assistance Program; PTO; tuition reimbursement; and employee-paid critical illness and accident insurance.Diversity Equity & Inclusion : At Change Healthcare we include all. We celebrate diversity 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 diversity 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. Learn more at https://careers.changehealthcare.com/diversityFeeling Inspired? Ready to #MakeAChange? Apply today!COVID Vaccination Requirements We remain committed to doing our part to ensure the health safety and well-being of our team members and our communities. As such some individuals may be required to disclose COVID-19 vaccination status prior to or during employment. Certain roles may require COVID-19 vaccination and/or testing as a condition of employment. Change Healthcare adheres to COVID-19 vaccination regulations as well as all client COVID-19 vaccination requirements and will obtain the necessary information from candidates prior to employment to ensure compliance. Equal Opportunity/Affirmative Action Statement Change Healthcare is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race color religion age sex sexual orientation gender identity genetic information national origin disability or veteran status. To read more about employment discrimination protections under federal law read EEO is the Law at https://www.eeoc.gov/employers/eeo-law-poster and the supplemental information at https://www.dol.gov/ofccp/regs/compliance/posters/pdf/OFCCP EEO Supplement Final JRF QA 508c.pdf.If you need a reasonable accommodation to assist with your application for employment please contact us by sending an email to applyaccommodations@changehealthcare.com with "Applicant requesting reasonable accommodation" as the subject. Resumes or CVs submitted to this email box will not be accepted.Click here https://www.dol.gov/ofccp/pdf/pay-transp %20English formattedESQA508c.pdf to view our pay transparency nondiscrimination policy.California (US) Residents: By submitting an application to Change Healthcare for consideration of any employment opportunity you acknowledge that you have read and understood Change Healthcares Privacy Notice to California Job Applicants Regarding the Collection of Personal Information (https://www.changehealthcare.com/privacy-notice/privacy-notice-to-california-job-applicants) . Change Healthcare maintains a drug free workplace and conducts pre-employment drug-testing where applicable in accordance with federal state and local laws.Change Healthcare is an equal opportunity employer. All qualified applicant will reveive consideration for employment without regard to race color religion age sex sexual orientation gender identity genetic information national origin disability or veteran status.