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FHIR LOINC CPT HEDIS Certification Consultant

  • Raleigh, NC, United States

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Job details

Experience
3+ years of experience in clinical informatics, healthcare IT, or health information exchange environments.
Posting language
English
Posted

Original job description

FHIR LOINC CPT HEDIS Certification Consultant

(Jobs in Raleigh, NC)

Requirement id 159406

Job title Consultant

Job location in Raleigh, NC

Skills required Healthcare Knowledge, FHIR, LOINC, CPT HEDIS Certification

Open Date 26-Oct-2026

Close Date

Job type Contract

Duration 11 Months

Compensation DOE

Status requirement ---

Job interview type ---

Email Recruiter:coolsoft

Job Description Consultant: Healthcare Knowledge, FHIR, LOINC, CPT HEDIS Certification

Start date : 11/02/2026

End Date :09/30/2027

Submission deadline :10/29/2026

Client Info : NCDIT-HIEA

Note:

*Remote

*Webcam Interview Only

Description:

A strong understanding of clinical documentation, EHR systems, and data interoperability

Experience working with clinical coding systems such as SNOMED CT, LOINC, ICD, CPT, and RxNorm

Experience with quality measurement programs and tools (e.g., HEDIS, eCQMs, dQM)

Ability to bridge clinical and technical domains

Familiarity with NC HealthConnex or other HIE platforms

Experience with CMS Data Aggregator Validation (DAV) and Primary Source Validation (PSV) programs

Understanding of HL7, FHIR, and other healthcare data standards

Knowledge of SAS tools and analytics platforms is a plus

Strong clinical and analytical skills

Effective communication and collaboration across clinical and technical teams

A detail-oriented and highly organized approach

Ability to work independently in a fast-paced environment

Commitment to data quality and health system improvement

Ability to participate in product testing and technical validation

Duties include but are not limited to:

Serve as a clinical SME for NC HealthConnex solution teams, providing insights on clinical concepts and data use cases.

NCQA Data Aggregator Validation Program

Support clinical evaluators with interpretation and validation of clinical resources and content.

Provide clinical expertise and guidance in support of the NCQA Data Aggregator Validation program activities, including primary source validation (PSV) processes

Assist with preparation, submission, and maintenance of documentation required for DAV certification.

Digital Quality Measurement (dQM)

Support the implementation and operationalization of the dQM engine.

Assist with aligning clinical data sources and formats to quality measurement specifications.

Data Quality Improvement

Collaborate with technical and clinical teams to identify and resolve data quality issues.

Provide recommendations for improving the accuracy, completeness, and usability of clinical data within NC HealthConnex systems.

Product Development Support

Contribute to new product development and enhancements by offering clinical perspectives that inform technical design.

Participate in product testing and validation for clinical functionality.

Education:

Clinical degree or licensure (e.g., RN, MD, NP, PharmD, or other licensed healthcare professional).

3+ years of experience in clinical informatics, healthcare IT, or health information exchange environments.

Call502-379-4456 Ext 100for more details. Please provide Requirement id: 159406 while calling.

EOE Protected Veterans/Disability

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