Quality Clinical Analyst - Full Time

Kingman Healthcare•Kingman, AZ

2d•Onsite

About The Position

This position supports the functions of the organization-wide Quality Management System which enables cost-effective, high quality and safe patient care. The Quality Clinical Analyst is a link between Quality Management and regulatory requirements related to electronic health information measures and metrics across the organization. This position provides a bridge aligning electronic health information measures with regulatory requirements by standardizing workflows and aligning application versions with current regulatory requirements. This position is the technical liaison between the following departments: Finance/Quality/Information Systems/Care Delivery Teams.

Requirements

Bachelor’s Degree in Data Analytics, Informatics, Business, or five (5) years of relative experience.
Proven experience working with multidisciplinary workgroups, departments and individuals.
Demonstrated high level analytic, implementation, and troubleshooting skills over a broad range of systems.
Experience responsible for or participated in teams responsible for the building and maintenance of data and tables within systems.
Ability to extract data from databases in support of clinical, financial or statistical needs.
Familiarity with HIPAA/HITEC and CMS reporting requirements.

Nice To Haves

Master’s degree in Data Analytics, Informatics, or Business.

Responsibilities

Serve as the technical liaison for electronic health information regulatory programs.
Educate technical and non-technical staff on regulatory requirements related to electronic health information clinical quality measures, HIE metrics and Promoting Interoperability Requirements.
Manage CMS Promoting Interoperability program participation requirements including goals, milestones, and progress.
Support the Differential Adjustment Payment Program (HIE) program participation/requirements.
Maintain electronic health information quality regulatory programs (e.g., IQR, OQR, eCQM’s).
Develop and implement best practice applications and optimization of workflows to enhance success of quality projects with a focus on continuous quality improvement through research.
Review medical charts for appropriate PI and eCQM validation to ensure the integrity and accuracy of information collected and reported in the EHR tool.
Assess potential problems affecting the data collection process and coordinate follow-up of problem resolution with the team and/or manager.
Meet all deadlines.
Identify opportunities for performance improvement based on reliable data trending and make recommendations based on recognition and analysis of gaps in documentation.
Clearly and consistently communicate progress toward goals.
Complete large, complex projects in a timely manner, including timeline development, coordination of activities and data collection, and future program maintenance.
Prioritize tasks effectively and manage multiple internal and external projects.
Take initiative in completing project tasks, including requesting data, following up, and setting up onsite appointments.
Analyze and apply theory to practice skills.
Understand wide-range health care processes and business expertise including knowledge of healthcare issues, workflows, applications, policies, and standards.