Quality Assurance Representative Details

Quality Assurance Representative

Change Healthcare - Puerto Rico

Employment Type : Full-Time

Change Healthcare offers flexible opportunities in the medical field, whether you’re looking for a supplemental income, or simply want to gain more training and experience in your field. This is the chance to boost your earnings potential – on a flexible schedule – and help transform the entire healthcare industry, from provider to patient.
At Change Healthcare, we’re inspiring a better you.

Title
Quality Assurance Representative

Overview of 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. We accept applications year-round, and active recruitment for these roles typically occurs from October-February.

We offer:

• 100% work from home

• Flexible working schedule (20 minimum hours per week)

• Per chart compensation

• Paid training

What will be my duties and responsibilities in this job?

• 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

What are the requirements needed for this position?

• 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 (40 hours preferred)

What other skills/experience would be helpful to have?

In addition to HEDIS experience, we look for clinical experience in any of the following areas: pediatrics, health department, school nurse, medical surgery, cardiology, diabetes, well child/adolescents, oncology, OB/GYN, geriatrics, pre-natal

What are the working conditions and physical requirements of this job?

General office demands

Join our team today where we are creating a better coordinated, increasingly collaborative, and more efficient healthcare system!

COVID Mandate

As a federal contractor, Change Healthcare is adhering to the Executive Order which mandates vaccination. As such, we are requiring all U.S. new hires and employees to show proof of being fully vaccinated for COVID-19 or receive an approved accommodation by their date of hire, as a condition of employment.

As we continue to navigate the ever-changing COVID-19 pandemic, we remain committed to doing our part to ensure the health, safety, and well-being of our team members and our communities. Proof of vaccination or accommodations requests will be collected once an offer is accepted with Change Healthcare. All accommodation requests will be carefully considered but are not guaranteed to be approved.

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 Healthcare’s Privacy Notice to California Job Applicants Regarding the Collection of Personal Information.

Change Healthcare maintains a drug free workplace and conducts pre-employment drug-testing, where applicable, in accordance with federal, state and local laws.