RN Trainer Auditor PRN

Intermountain Health•SelectHealth - Murray, GA

1d•$35 - $53

About The Position

The RN Trainer Auditor reviews medical records retrieved from provider offices and abstracts medical information for annual HEDIS audits. The role interprets clinical criteria by reviewing medical records, annotating documents using Adobe PDF, and entering information into a data collection tool to support compliance with HEDIS, CMS, and STARS performance measures. The reviewer performs accurate and comprehensive chart reviews using a proprietary abstraction tool and assigned laptop. Reviews are conducted remotely or offsite using records collected from provider offices, clinics, and hospitals through third-party vendors, fax, remote EMR access, or mail. The role also involves coordinating with provider offices, following up on record requests, and calling members to verify procedural details and where and when care was received. The reviewer must pass an abstraction test before beginning the project and maintain minimum competency throughout it.

Requirements

Current RN license in the state of practice.
Current driver's license and access to a personal vehicle for 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 fewer than 12 months of RN work experience before joining Intermountain must obtain a BSN within five years of their start date.
Ability to meet required deadlines, with organizational and time-management skills.
Ability to verbally communicate with providers and members and to hear and understand spoken information.

Nice To Haves

Bachelor of Science in Nursing (BSN) from an accredited institution.
Effective organizational skills.
Effective written and verbal communication skills.

Responsibilities

Collaborate with SelectHealth’s HEDIS Manager, Quality Consultants, and Data Analyst.
Review assigned medical records accurately and comprehensively using the proprietary abstraction tool and software.
Locate and review assigned medical charts, abstract information, and mark up supporting documentation according to audit specifications.
Work with provider offices to schedule or confirm appointments and follow up on medical record requests.
Call members to gather procedural information and verify when and where care was received.
Meet required deadlines and maintain accurate, comprehensive work.
Pass a medical record abstraction test before starting the project and maintain minimum competency throughout the project.
Communicate with providers and members, including hearing and understanding spoken information, needs, and issues.