Clinical Auditor, Specialty Programs

Associates degree in nursing 3+ years of experience in clinical auditing, risk adjustment, or quality improvement programs Strong knowledge of HCC coding, ICD-10, and medical terminology Expertise in risk adjustment methodologies and quality reporting standards (e.g., HEDIS) Excellent analytical and problem-solving skills Strong attention to detail and ability to interpret complex clinical documentation Extensive knowledge of database management and running/interpreting reports Ability to partner with shared stakeholders to achieve mutual success Proficient in Microsoft Office, including Outlook, Word, and Excel Ability to prioritize and multi-task in a fast-paced environment Ability to foster a collaborative work environment Interpersonal skills sufficient to effectively communicate both written and orally with department teams, practitioners, and team members Ability to work independently and manage multiple audits simultaneously Commitment to compliance, accuracy, and continuous improvement Benefits: Health, Dental, Vision, Disability & Life Insurance, and much more 401K Retirement Plan (with company match) Tuition, Professional License and Certification Reimbursement Paid Time Off, Holidays and Volunteer Time Paid Orientation and Training Great Place to Work Certified Apply To this Job Company : HarmonyCares Salary : Work from home .