Role and Responsibilities:
Preforms primary data abstraction duties for Core Measures (in IQR, OQR, IPFQR, and/or other quality reporting programs that utilize core measures. Ensuring high levels of abstraction accuracy and hospital compliance with regulations required by the Centers for Medicare & Medicaid Services (CMS) and The Joint Commission (TJC). Reviews patient records to extract and report clinical data for quality assessment via validation activities. The role requires strong attention to detail, knowledge of medical terminology and EHR systems, and effective communication skills to work with clinical teams.
Requirements:
Superior knowledge of core measure requirements
Clinical knowledge: Understanding of medical terminology, clinical documentation, and patient care processes.
Preferred Skills:
Clinical knowledge: Understanding of medical terminology, clinical documentation, and patient care processes.
Technical skills: Proficiency with electronic health records (EHR) and data management software.
Analytical skills:
Ability to interpret and analyze complex clinical data.
Attention to detail: Meticulous accuracy is critical for meeting quality standards.
Communication: Robust written and verbal skills for transparent communication with clinical teams.
General Requirements:
Superb communication and responsiveness
Computer literacy
Self-maintenance of skillset
Maintaining credentials
Staying current with abstraction/coding rules, manuals, and guidelines
Robust interpersonal skills and tactfulness to be able to effectively communicate with team members and client contacts
Possess good analytical and problem solving skills. Ability to work with computerized clinical information systems. Initiative, flexibility, and integrity,
Must be able to work independently
Function independently under the guidance of the Director of Quality Analytics within the broad scope of department and organization‑wide policies, practices, and common goa