Clinical Quality Abstractor - Clinical Quality Reporting

Health First Careers•Rockledge, FL

About The Position

The Clinical Quality Abstractor provides program-level accurate data collection to support timely clinical quality measure submissions to CMS, The Joint Commission, and disease-specific registries. The role collaborates with Quality Database Administrators, Clinical Informatics, and IT to provide feedback and help identify system enhancements and functionality. It uses technology and quality data expertise to help business process owners understand medical trends, clinical program effectiveness, and performance, supporting regulatory program outcomes. The position supports patient safety, quality improvement, stewardship, and customer service through clinical data collection, analysis, reporting, benchmarking, and oversight of performance measures and improvement plans. It supports regulatory timeliness, resource optimization, quality database and registry utilization, data systems, and operational processes. The role also serves as a resource for system-wide quality outcomes, provides analytics and training, and communicates complex or technical information clearly.

Requirements

Bachelor’s degree in a healthcare- or business-related field, or at least 5 years of work in healthcare quality improvement and patient safety.
At least 2 years of working knowledge of CMS and The Joint Commission regulatory measures.
Proficiency with electronic medical records.
Excellent verbal and written communication skills with all levels of associates.
Willingness to continually learn new technology, applications, and methodologies.
Strong interpersonal, communication, and organizational skills.
Ability to maintain positive working relationships with all levels of the organization.
Analytical ability to recognize and resolve problems requiring technical or clinical interventions.
Ability to work independently with minimal supervision.
Ability to work flexible hours to meet deadlines or attend early or late meetings.
Ability to sit for extended periods at a computer and type using hand dexterity for up to two hours at a time, 6–8 hours per day.
Ability to work flexible and/or long hours to resolve issues.
Ability to communicate effectively in person, by telephone, and in writing.
Ability to bend and reach at all times.
Ability to coordinate multiple projects and ongoing demands.
Ability to organize and prioritize work effectively.
Ability to adapt to changing organizational requirements and business applications.
Ability to maintain professionalism in the face of adversity and confidentiality in pertinent matters.

Nice To Haves

Current clinical license; RN strongly preferred.
Experience with chart-abstracted measures.
Experience with Allscripts/One Content.
Knowledge of multiple clinical information systems.
Experience with Midas+ Care Management.

Responsibilities

Proactively identify opportunities to reduce risks to patient safety.
Collect or oversee clinical data and provide accurate, timely reports to appropriate committees or groups, identifying opportunities for improvement.
Aggregate and analyze data, provide benchmarks, verify statistical measures, and oversee development of action plans.
Oversee efficient daily operations and ensure accountability to regulatory entities and applicable policies and procedures.
Apply expertise in quality data abstraction and analysis based on regulatory requirements and requests from departments and medical staff.
Support department indicator monitoring and performance measurement for corporate and facility goals.
Maintain quality database competency and support continuous process improvement through documentation review.
Collaborate on studies evaluating organizational programs and on the design of outcome measures.
Assist in designing data collection and entry mechanisms; develop reports based on findings.
Identify process improvement opportunities and develop operational data process controls.
Interpret data, analyze results using statistical techniques, and provide ongoing reports.
Collaborate with clinical teams to identify resource optimization opportunities and apply LEAN methodology.
Support regulatory timeliness and quality-of-care goals, including Health First IDN Corporate Quality initiatives.
Support use of the Midas+ Care Management system and other quality data repositories or registries.
Understand end-user environments and systems and proactively seek improvements.
Recommend alternative operational processes and integrate or transfer technology to help meet outcomes and maximize departmental processes.
Monitor data file transfers and troubleshoot production incidents.
Develop and implement data collection systems and strategies to improve statistical efficiency and operational data quality.
Serve as a resource in system-wide efforts to advance quality outcomes and best-practice care.
Support decisions through analytics emphasizing statistical, quality, and clinical outcomes.
Validate information to improve data accessibility and the timeliness and accuracy of decision-making; provide training and assistance as needed.
Maintain customer focus and commitment to high customer satisfaction.
Communicate effectively in writing and verbally, conveying complex or technical information clearly and compellingly.