Clinical Data Quality Specialist - CMS
About The Position
The Clinical Data Quality Specialist is a critical member of the Client Services team, providing support to clinical leads, abstractors, and clients by carrying out a variety of quality tasks. The role includes orienting and educating abstractors, managing ongoing inter-rater reliability (IRR) work, supporting reviews and case assignments, and completing abstractions and harvest submissions as needed. Responsibilities may evolve as the organization grows. The position requires a passion for training and constructive feedback, strong organization, and the ability to work through ambiguity in a changing environment. The role has a prime responsibility to keep protected health information (PHI) secure and confidential. It is fully remote with a flexible schedule. The target wage range is $33.00–$36.00 per hour.
Requirements
- At least 1 year of abstraction experience with hospital Core Measures and Sepsis Measures.
- Intermediate proficiency with Microsoft Office.
- Exposure to multiple patient medical record systems (EMRs) and clinical databases.
- Passion for training others and providing effective, constructive feedback.
- Ability to thrive in an ever-changing environment.
- Excellent organizational skills and ability to navigate ambiguity.
- Maintain the security and confidentiality of PHI.
Nice To Haves
- Bachelor’s degree or equivalent experience is preferred.
Responsibilities
- Orient the abstraction team to medical records.
- Perform initial re-abstractions for new additions to the abstraction team (greenlighting).
- Provide abstractor re-education as needed to drive quality outcomes and/or improve use of technology.
- Manage and perform weekly ongoing IRR through completion and in accordance with quality standards.
- Assist with fallout reviews and/or second looks.
- Assist with case abstraction assignment at the direction of the Team Leader.
- Perform harvest submission as needed.
- Attend client calls as required.
- Complete assigned abstractions.
- Keep PHI secure and confidential.
Benefits
- Flexible work environment and schedule.
- Paid Time Off program.
- Additional paid time for volunteering.
- Medical insurance.
- Vision insurance.
- Dental insurance.
- Health savings accounts.
- Company-paid short- and long-term disability.
- Employee assistance program.
- Paid parental leave.
- Life insurance.
- Accident insurance.
- Other voluntary benefit programs for employees and eligible dependents.
- 401(k) retirement plan with company match.
- Paid professional development hours and supportive resources.
- Performance-based annual wage rate increases.
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
No Education Listed
