At HCSC, we consider our employees the cornerstone of our business and the foundation to our success. We enable employees to craft their career with curated development plans that set their learning path to a rewarding and fulfilling career.

Come join us and be part of a purpose driven company who is invested in your future!

Job Summary

This position is responsible for performing audits of Participating Providers in HCSC networks. Reviews medical records and examines office environments in order to rate overall service and quality of care and ADA compliance. Facilitates mailing HEDIS data request forms to participating providers. Obtains, analyzes, and evaluates medical record documentation submitted for HEDIS. Conducts site visits to providers to obtain and abstract medical record documentation. With coordinator or senior staff oversight, assists providers in identifying, planning, and implementing activities to enhance and improve their medical record and HEDIS documentation.

*** Hybrid 3 days in office, 2 days work from home ***

JOB REQUIREMENTS :

• Bachelor Degree or a clinical license Registered Therapist, RN, LPN, Pharmacy Technician
• 2 years experience with medical record reviews
• Knowledge of medical terminology
• Knowledge of standard medical practices, clinical practice guidelines and ADA guidelines
• Knowledge of quality improvement strategies and processes
• Experience with writing/updating policies and procedures
• Presentation and public speaking skills
• Clear and concise interpersonal, verbal and written communication skills.
• Current driver’s license.
• PC proficiency to include Word, Excel, and PowerPoint.
• Ability to travel including overnight stays.

Are you being referred to one of our roles? If so, ask your connection at HCSC about our Employee Referral process!

HCSC Employment Statement:

HCSC is committed to diversity in the workplace and to providing equal opportunity and affirmative action to employees and applicants. We are an Equal Opportunity Employment / Affirmative Action employer dedicated to workforce diversity and a drug-free and smoke-free workplace. Drug screening and background investigation are required, as allowed by law. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or protected veteran status.