HEDIS Abstractor - RN
About The Position
As a patient-focused organization, University of Utah Health exists to enhance the health and well-being of people through patient care, research and education. Success in this mission requires a culture of collaboration, excellence, leadership, and respect. University of Utah Health seeks staff that are committed to the values of compassion, collaboration, innovation, responsibility, integrity, quality and trust that are integral to our mission. EO/AA Under the direction of the HEDIS team lead, Quality Management, the HEDIS Medical Records Specialist is responsible for conducting the Chart Collection and Chart Abstraction portion of the HEDIS (Healthcare Effectiveness Data and Information Set) Audit. The Specialist is responsible for providing basic administrative and telephonic support for the Quality Improvement department in order to meet deadlines associated within the project. They will coordinate with provider offices to verify information, transfer documents, schedule onsite visits if needed. Corporate Overview: The University of Utah is a Level 1 Trauma Center and is nationally ranked and recognized for our academic research, quality standards and overall patient experience. Our five hospitals and eleven clinics provide excellence in our comprehensive services, medical advancement, and overall patient outcomes.
Requirements
- Three years of clinical and critical nursing experience
- Current license to practice as a Registered Nurse in the State of Utah, or obtain one within 90 days of hire under the interstate compact if switching residency to State of Utah.
- Must maintain current Interstate Compact (multi-state) license if residency is not being changed to Utah.
- Additional license requirements as determined by the hiring department.
Nice To Haves
- HEDIS experience
- Experience with HEDIS vendor software
- Knowledge of health insurance and managed care operations
Responsibilities
- Ensures timely and accurate collection of medical records from provider offices
- Uses clinical knowledge to efficiently and accurately abstract HEDIS data from medical record into HEDIS software
- Call providers and request medical records
- Book appointments for HEDIS onsite chart review
- Communicate effectively and professionally with providers
- Research within the company's claim systems to identify provider location
- Retrieve previously scanned or filed information
- Oversee incoming and outgoing fax documents
- Assemble and scan and/or upload documents
- Maintain tracking log and calendar
Stand Out From the Crowd
Upload your resume and get instant feedback on how well it matches this job.
What This Job Offers
Job Type
Full-time
Career Level
Mid Level
