Remote RN HEDIS Auditor & Records Reviewer

Intermountain Healthcare Inc.; Nashville (TN); Remote; USD 49,000 - 73,000; Part time

Benefits offered by this job

Flexible work options

Benefits package

Job summary

Intermountain Health is seeking a remote, part-time HEDIS Medical Records Reviewer to support annual audits. You will review records, abstract data, and use a proprietary tool to ensure documentation meets HEDIS, CMS, and STARS measures. Video screens via Teams are required for this fully remote position.

Requirements include an RN license, at least three years of clinical experience, and proficiency with word processing and spreadsheets. BSN is preferred for ongoing eligibility and advancement.

Qualifications

• Current RN license in state of practice.
• Current driver's license and access to a vehicle to travel to local offices.
• Three years of clinical experience in hospital or physician office.
• Computer skills in word processing and spreadsheets.
• RNs with less than 12 months experience must obtain BSN within five years.

Responsibilities

• Review medical records and abstract data for HEDIS CMS STARS audits.
• Collaborate with HEDIS Manager, Quality Consultants, and Data Analyst.
• Perform remote or offsite chart reviews using a proprietary abstraction tool.
• Locate, review, and abstract documentation per audit specs.
• Coordinate with providers and members to gather missing information.
• Pass a medical record abstraction test and maintain competency.

Skills

RN license

Driver's license

Clinical experience

Computer skills

Education

Bachelor's degree in Nursing (BSN)

Job description

Intermountain Health is seeking a remote, part-time HEDIS Medical Records Reviewer to support annual audits. You will review records, abstract data, and use a proprietary tool to ensure documentation meets HEDIS, CMS, and STARS measures. Video screens via Teams are required for this fully remote position.

Requirements include an RN license, at least three years of clinical experience, and proficiency with word processing and spreadsheets. BSN is preferred for ongoing eligibility and advancement.