Remote RN HEDIS Auditor & Trainer

61000 SelectHealth Inc; Oklahoma; Remote; USD 49,000 - 73,000; Full time

Job summary

Intermountain Health is seeking a reviewer to abstract medical information for HEDIS audits. You will review records remotely, use an abstraction tool, and ensure documentation aligns with CMS and STARS measures. Collaboration with the HEDIS Manager and data teams is essential.

The role requires an RN license, travel-ready credentials, and 3+ years of clinical experience. Remote work options are available with some on-site interviews as needed.

Qualifications

• RN license in state of practice required.
• Valid driver's license and access to a personal vehicle for local travel.
• Three years of clinical experience in hospital and/or physician office.
• Word processing and spreadsheet skills.
• RNs with less than 12 months of experience must obtain BSN within five years.

Responsibilities

• Review medical records for HEDIS audits using a proprietary abstraction tool.
• Collaborate with HEDIS Manager, Quality Consultants, and Data Analyst.
• Perform remote or offsite medical record reviews with charts from providers.
• Interact with providers and members to gather necessary information.

Skills

RN license

Driver's license

Clinical experience

Computer skills

Education

BSN within 5 years of start date

Bachelor's Degree in Nursing (BSN) preferred

Job description

Intermountain Health is seeking a reviewer to abstract medical information for HEDIS audits. You will review records remotely, use an abstraction tool, and ensure documentation aligns with CMS and STARS measures. Collaboration with the HEDIS Manager and data teams is essential.

The role requires an RN license, travel-ready credentials, and 3+ years of clinical experience. Remote work options are available with some on-site interviews as needed.