HEDIS Abstractor - RN

Utah; Murray (UT); Hybrid; USD 50,000 - 75,000; Part time

Job summary

University of Utah Health seeks a HEDIS Medical Records Specialist to support chart collection, abstraction, and onsite reviews within the Quality Improvement department. You will coordinate with provider offices, verify information, and schedule visits to ensure timely audits across a 24/7 health system.

The role requires an RN license in Utah with at least three years of clinical nursing experience and familiarity with HEDIS software and EMR systems.

Qualifications

• Three years of clinical and critical nursing experience.
• Current RN license to practice in Utah, or eligible via Interstate Compact within 90 days.
• Experience with HEDIS data collection and abstraction is preferred.

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.
• Work rotating schedules, including variable hours, weekends, nights, and holidays to meet staffing and patient care demands of a 24/7 complex health system. Regular, reliable, and punctual attendance during assigned shifts is essential.

Skills

Rotating shifts

Attention to detail

Multitasking

Microsoft Office

EMR systems

Time management

Tools

HEDIS software

Job description

Overview

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.

Responsibilities

Essential Functions

• 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

• At the discretion of department operational and patient care needs, this position is required to work rotating schedules, which may include variable hours, weekends, nights, and holidays to meet the staffing and patient care demands of a 24/7 complex health system. Regular, reliable, and punctual attendance during assigned shifts is considered an essential function of the role.

Knowledge / Skills / Abilities

• Demonstrated availability to work variable and rotating shifts, including nights, weekends, and holidays, in a 24/7 patient care environment.

• Ability to perform the essential functions of the job as outlined above

• Strong attention to detail

• Ability to manage multiple priorities and meet deadlines

• Knowledge of Microsoft Office applications

• Knowledge of electronic medical record systems

Qualifications

Required

• Three years of clinical and critical nursing experience

Licenses Required

• 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.

Qualifications (Preferred)

Preferred

• HEDIS experience

• Experience with HEDIS vendor software

• Knowledge of health insurance and managed care operations

Working Conditions and Physical Demands

Employee must be able to meet the following requirements with or without an accommodation.

• This is a sedentary position that may exert up to 10 pounds and may lift, carry, push, pull or otherwise move objects. This position involves sitting most of the time and is not exposed to adverse environmental conditions.

Physical Requirements

Non Indicated

Multi-lingual Candidates Welcomed

EEO Statement

University of Utah Health Hospitals and Clinics, a part of The University of Utah, values candidates who have experience working in settings with students and patients from all backgrounds and possess a strong commitment to improving access to higher education and quality healthcare for historically underrepresented students and patient populations.

All qualified individuals are encouraged to apply. Veterans’ preference is extended to qualified applicants, upon request and consistent with University policy and Utah state law. Upon request, reasonable accommodations in the application process will be provided to individuals with disabilities.

University of Utah Health Hospitals and Clinics, a part of The University of Utah, is an affirmative action/equal opportunity employer and does not discriminate based upon race, ethnicity, color, religion, national origin, age, disability, sex, sexual orientation, gender, gender identity, gender expression, pregnancy, pregnancy-related conditions, genetic information, or protected veteran's status. The University does not discriminate on the basis of sex in the education program or activity that it operates, as required by Title IX and 34 CFR part 106. The requirement not to discriminate in education programs or activities extends to admission and employment. Inquiries about the application of Title IX and its regulations may be referred to the Title IX Coordinator, to the Department of Education, Office for Civil Rights, or both. To request a reasonable accommodation for a disability, please contact the University of Utah Health Hospitals and Clinics Human Resources office at 801-581-6500. If you or someone you know has experienced discrimination or sexual misconduct including sexual harassment, you may contact the Director/Title IX Coordinator in the Office of Equal Opportunity (OEO). More information, including the Director/Title IX Coordinator's office address, electronic mail address, and telephone number can be located at: www.utah.edu/nondiscrimination/
Online reports may be submitted at oeo.utah.edu/

The University is a participating employer with Utah Retirement Systems (“URS”). Eligible new hires with prior URS service, may elect to enroll in URS if they make the election before they become eligible for retirement (usually the first day of work). Contact Hospitals and Clinics Human Resources at [phone] for information. Individuals who previously retired and are receiving monthly retirement benefits from URS are subject to URS’ post-retirement rules and restrictions. Please contact Utah Retirement Systems at [phone] or [phone] or Hospitals and Clinics Human Resources at [phone] if you have questions regarding the post-retirement rules.

This position may require the successful completion of a criminal background check and/or drug screen.

Requisition Number 86355
Reg/Temp Temporary
Employment Type PRN
Shift Variable
Work Schedule PRN - Variable
Clinical/Non-Clinical Status Clinical
Location Name University of Utah Health Plans
Workplace Set Up Remote
City Murray
State UT
Department UIP CST 01H Quality Improvemnt
Category Nursing
Workplace Set Up Remote