RN Trainer Auditor PRN
$35.22 - $53.29 per hourIntermountain Healthcare Inc.
Fully Remote SelectHealth - Murray Part time
R189337
Job Description To review medical records retrieved from provider offices and abstract medical information for HEDIS (Health Effectiveness Data Information Set) annual audits. Interprets relevant clinical criteria through review of medical records annotates via Adobe PDF and populates a data collection tool to support compliance with HEDIS, CMS, and STARS performance measures. We are committed to offering flexible work options where approved and stated in the job posting. However, we are currently not considering candidates who reside or plan to reside in the following states: California, Connecticut, Hawaii, Illinois, Massachusetts, Maine, Minnesota, New York, Pennsylvania, Rhode Island, Virginia Vermont, Washington. Job Essentials Work collaboratively with SelectHealth’s HEDIS Manager, Quality Consultants, and Data Analyst Responsible for performing accurate and comprehensive medical record reviews using a proprietary abstraction tool and software on an assigned laptop Reviewer will perform remote or offsite medical record reviews with charts collected from provider offices, clinics and hospitals for the purpose of obtaining documentation to support the HEDIS project. Records will be retrieved by third party vendor, fax, remote EMR access and/or mail processes Locate and review all assigned medical charts, perform abstraction, mark-up supporting documentation per audit specifications Proven organizational and time management skills including the ability to meet required deadlines. Work with provider offices as needed to schedule/confirm appointments, and follow up on medical record requests Calls members to gather procedural information on when and where the member received are and verify care was received. Reviewer must pass a medical record abstraction test prior to beginning the project and will need to maintain minimum competency throughout the project Frequent interactions with providers, members that require employee to verbally communicate as well as hear and understand spoken information, needs, and issues accurately Minimum Qualifications -Current RN license in state of practice.- Current driver's license and access to personal vehicle to be able to travel to multiple local offices.
- Three years of clinical experience in hospital, and/or physician office.
- Computer skill in word processing and spreadsheets.
- RNs with less than 12 months of working experience as an RN prior to joining Intermountain must obtain their BSN within five years of their start date.
Vacancy posted 1 hour ago
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