Medical Record Reviewer

We are seeking a Medical Record Reviewer to work on a part-time basis. As a Medical Record Reviewer, you will review medical records retrieved from provider offices and abstract medical information for HEDIS (Health Effectiveness Data Information Set) annual audits.

You will interpret relevant clinical criteria through review of medical records, annotate via Adobe PDF, and populate a data collection tool to support compliance with HEDIS, CMS, and STARS performance measures.

Responsibilities:

• Work collaboratively with SelectHealth's HEDIS Manager, Quality Consultants, and Data Analyst
• Perform accurate and comprehensive medical record reviews using a proprietary abstraction tool and software on an assigned laptop
• Review medical records retrieved from provider offices, clinics, and hospitals for the purpose of obtaining documentation to support the HEDIS project
• Locate and review all assigned medical charts, perform abstraction, mark-up supporting documentation per audit specifications
• Demonstrate proven organisational 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
• Make calls to gather procedural information on when and where the member received care and verify care was received
• Pass a medical record abstraction test prior to beginning the project and maintain minimum competency throughout the project
• Frequently interact with providers and members, requiring verbal communication and the ability to hear and understand spoken information

Requirements:

• Current RN license in the state of practice
• Current driver's license and access to a personal vehicle to travel to multiple local offices
• Three years of clinical experience in a hospital and/or physician office
• Computer skills 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

Preferred Qualifications:

• Bachelor's Degree in Nursing (BSN) from an accredited institution
• Effective organisational skills and written and verbal communication skills

Work Arrangements: We offer 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.

Interview Process: A video interview through Microsoft Teams will be required, as well as potential onsite interviews and meetings.

Salary: $35.22 - $53.29 per hour

Benefits: We provide a generous benefits package that covers a wide range of programs to foster a sustainable culture of wellness.