Clinical Registry Reviewer
About The Position
The Clinical Registry Reviewer coordinates data collection, data harvesting, quarterly outcomes report analysis, and review, and produces routine statistical, analysis, and quality-monitoring reports. The role uses internal and external software to collect and analyze information, maintains accurate and timely database entries, and ensures compliance with national registry requirements and protocols. It also analyzes clinical and statistical information to identify quality issues and trends, prepares meaningful reports, and supports research initiatives and hospital committees. The reviewer supports quality improvement by using data and national comparative clinical benchmarks to identify gaps, recommend improvement approaches, and provide information to physicians, clinicians, and project participants. The role collaborates with interdisciplinary teams and hospital departments to define outcome measures, develop measurement tools, evaluate results, and communicate findings. It may also develop educational materials and deliver presentations. Clinical review and compliance duties include reviewing patient records and interviewing hospital employees or medical staff when concerns arise about care appropriateness or professional conduct; monitoring continued-stay appropriateness, level of care, services, and quality of care; and referring cases for additional review when needed. The reviewer conducts retrospective medical-record reviews and abstraction, including reviews related to treatment appropriateness, protocol compliance, documentation requirements, utilization, and core measures.
Requirements
- Bachelor’s degree or an equivalent combination of education and experience.
- 5+ years of work experience in a related job discipline.
- May require a clinical license, certification, or training.
Responsibilities
- Coordinate data collection, data harvesting, and quarterly outcomes report analysis and review.
- Produce monthly statistical and analysis reports and routine quality-monitoring reports; track and trend department information.
- Coordinate quality-improvement efforts and use data and national comparative clinical benchmarks to support improvement activities.
- Identify gaps and compliance issues, analyze utilization, quality, and severity measurements, and recommend improvement actions.
- Use internal and external software applications for data collection and analysis; enter data accurately and on time and ensure compliance with registry requirements and protocols.
- Monitor the timeliness, accuracy, availability, and security of information.
- Analyze clinical and statistical data to identify quality issues and trends; collect and compare data from departments, reports, and patient medical records.
- Prepare reports that present data meaningfully and compile data and reports for hospital committees.
- Support research initiatives and provide data to physicians, clinicians, and other project participants.
- Establish working relationships with hospital departments and collaborate with interdisciplinary teams to define outcome parameters, design measurement tools, and evaluate results.
- Develop educational materials and deliver presentations when serving as an educational resource; formulate action plans and communications related to findings.
- Maintain professional knowledge through continuing education, literature, and seminars; represent the department and Cincinnati Children’s in professional associations and organizations.
- Review patient records and interview hospital employees or medical staff when concerns arise about appropriateness of care or professional conduct.
- Communicate with physicians when clinical review indicates alternatives to care; monitor continued-stay appropriateness, level of care, services, and quality using approved screening criteria.
- Refer cases for second-level review as needed and help defuse sensitive situations with healthcare professionals.
- Follow up on cases to conduct or develop corrective or preventive practices and procedures when needed.
- Review patient records for treatment appropriateness, protocol compliance, core measures, and other quality or utilization review activities.
- Facilitate compliance with protocols and documentation requirements and conduct retrospective medical-record reviews and abstraction.
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What This Job Offers
Job Type
Full-time
Career Level
Senior
