Mid Level Quality Improvement Specialist Jobs

General Summary

JOB DESCRIPTION

Performs a variety of duties including, but not limited to, planning, coordination, consultation, design and collaboration related to the reporting and/or abstraction, quality assessment and analysis of data from sources such as health care information databases and systems including, but not limited to, the electronic health record (EHR) Quantros, GWTG Registries, PHC4 Web, Premier, Metrics Dashboard and publicly reported data and related websites. Develops queries of computer databases to measure performance. Works collaboratively with the Hospital leadership, Service Lines, and regional colleagues in continuous quality improvement for excellent patient care. Validates all reportable data results through qualitative and quantitative analyses to confirm findings accuracy. Presents data in appropriate formats. Prepares and organizes information for meetings and audit visits and assists in coordination of deliverables. Meets all regulatory required data entry and filing deadlines. Participates in development and implementation of quality assessment indicators.

Responsibilities

Duties and Responsibilities

Essential Functions

• Provides timely, high quality data reporting and abstraction and related clinical information collection.
• Coordinates clinical data and audit finding needs to improve patient care delivery, identifies opportunities for improvement and achieves desired patient outcomes.
• Performs structured audits of medical records. Reviews records for completeness, accuracy, legibility, follow up of abnormal test results and other indicators.
• Compiles data for and prepares regularly scheduled or special reports.
• Explains data results as necessary.
• Evaluates procedures, resolves problems and implements changes to improve production.
• Verifies the data integrity for statistical analysis.
• Establishes data bases as needed by leadership.
• Provides consultation and recommendations based on analytical results to improve business processes or outcomes with the provision of ongoing education and support.
• Formulates validation inter-rater reliability and quality assurance strategies and methods to ensure accurate and reliable data, ensuring appropriate departmental/service line/project and corporate standards are met and the data is correct (may include report generation and comparison). Proactively corrects errors as identified.
• Works with customer to define informatics and reporting requirements, including System leadership.
• Collaborates with appropriate Service Lines/IS team for any identified problems and/or outcomes for further investigation or recommended action.
• Participates as a professional team member in professional committee and survey discussions by attendance and active, thoughtful participation.

Common Expectations

• Provides excellent, timely and high quality service to internal and external customers.
• Maintains established policies and procedures, objectives, quality assessment, safety, environmental and infection control standards.
• Enhances professional growth and development through participation in educational programs, current literature, in-service meetings, and workshops.
• Meets data filing and/or reporting/submission timelines and deadlines, ensuring highest quality assurance.
• Routinely performs professional clinical improvement assessments in all job aspects. Participates in Performance Improvement projects to enhance quality and streamline workflow.
• Provides outstanding service to all customers; fosters teamwork; and practices fiscal responsibility through improvement and innovation.

Travel Requirements

* Estimated Amount: 5% - Travel required.

Qualifications

QUALIFICATIONS

Minimum Education

- High School Diploma or GED Required
- Associates Degree Preferred or
- Bachelors Degree Preferred

Work Experience

- 3 years Relatable experience in abstraction, data reporting, quality assurance and other forms of clinical information collection; including, but not limited to, clinical documentation improvement, regulatory, care management, healthcare auditing, etc. Required

Licenses

- Registered Health Information Technician Upon Hire Preferred or
- Registered Health Information Administrator Upon Hire Preferred or
- Certified Health Data Analyst Upon Hire Preferred or
- Certified Professional in Healthcare Quality Upon Hire Preferred or
- Licensed Registered Nurse Upon Hire Preferred or
- Oncology Data Specialist Upon Hire Preferred

Courses And Training

- Licensure as a Medical Professional. Upon Hire Preferred

Knowledge, Skills, And Abilities

- Medical record review and reporting, abstracting & coding.
- Database & advanced Microsoft Office and other computer skills absolutely required.
- Excellent professional written and verbal communication skills, Excellent teamwork skills.
- Knowledge of appropriate tools & methodologies.
- Knowledge of medical terminology.
- Ability to work independently and as an integral part of a collaborative team.
- Knowledgeable in the application of performance improvement models.
- Able to conceptualize and convey the importance/impact of data integrity in terms of patient management, study results, cost efficiency, quality of service, and the goals of clinical improvement and related project management.
- PDSA knowledge.

Benefits Offered

- Comprehensive health benefits
- Retirement savings plan
- Paid time off (PTO)
- Education assistance
- Financial education and support, including DailyPay
- Expanded Paid Parental Leave

For additional details: Benefits & Incentives | WellSpan Careers (joinwellspan.org)