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Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in medical record abstraction and review, with a strong focus on HEDIS, CMS, and STARS performance measures. Proficient in utilizing proprietary tools and software for accurate data collection and analysis while maintaining effective communication and organizational skills.
Highest-signal resume keywords
Current RN LicenseThree Years Clinical ExperienceMedical Record AbstractionData Collection Tool ProficiencyEffective Communication Skills
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Medical Record ReviewData AbstractionClinical Criteria InterpretationProprietary Abstraction ToolWord ProcessingSpreadsheet SkillsHEDIS AuditsCMS Performance MeasuresSTARS Performance MeasuresManual Dexterity
Soft Skills
Organizational SkillsWritten CommunicationVerbal CommunicationInterpersonal SkillsAttention to Detail
Tools & Technologies
Adobe PDFData Collection ToolRemote EMR AccessProprietary Software
Certifications & Qualifications
Current RN LicenseBSN (if applicable)
Industry Keywords
HEDISCMSSTARSClinical ExperienceMedical RecordsProvider OfficesHealthcare AuditsQuality Assurance
About the role
Key responsibilities & impact- Review medical records retrieved from provider offices and abstract medical information for HEDIS annual audits
- Interpret clinical criteria through medical-record review
- Annotate records using Adobe PDF and populate a data collection tool supporting HEDIS, CMS, and STARS performance measures
- Collaborate with the HEDIS Manager, Quality Consultants, and Data Analyst
- Perform accurate and comprehensive reviews using a proprietary abstraction tool and software on an assigned laptop
- Conduct remote or offsite medical-record reviews using charts collected from provider offices, clinics, and hospitals
- Review records retrieved through third-party vendor, fax, remote EMR access, and mail processes
- Locate assigned charts, perform abstraction, 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 care was received
Requirements
What you’ll need- Current RN license in state of practice
- Current driver's license and access to a personal vehicle to 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 less than 12 months of RN work experience before joining Intermountain must obtain a BSN within five years of start date
- Must pass a medical record abstraction test before beginning the project and maintain minimum competency throughout the project
- Effective organizational skills and written and verbal communication skills
- Ability to see and read information, assess member needs, and view computer monitors
- Ability to verbally communicate and hear and understand spoken information accurately
- Manual dexterity and frequent computer use and typing
Benefits
Comp & perks- Generous benefits package covering programs for wellness, health, security, connection, and engagement
- Company equipment for remote work (referenced in remote work expectations)