Quality Analyst Jobs

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About The Position

The Quality Performance Improvement (PI) Analyst at Jackson North Medical Center’s Quality Department reviews medical records and abstracts data, ensuring information is accurate, reliable, and reported on time. The analyst performs data analysis and reporting, collaborates with other departments, and provides feedback to support effective and sustained improvement. The role uses independent judgment and assists or facilitates the department director or designee in meeting departmental objectives. Experience with Microsoft applications is required. The analyst supports quality and patient-safety improvement efforts across clinical service lines, including cardiac, surgical, emergency, and orthopedic services. The position includes maintaining quality files and databases, supporting regulatory reporting and corporate credentialing, and providing education and consultation on quality indicators, regulatory compliance, and survey readiness. The role also requires maintaining current knowledge of CMS and TJC requirements and demonstrating the organization’s CARE values: Compassion, Accountability, Respect, and Expertise.

Requirements

  • Generally, 3 to 5 years of related experience.
  • Ability to analyze, organize, and prioritize work accurately while meeting multiple deadlines.
  • Ability to communicate effectively in oral and written form.
  • Ability to handle difficult and stressful situations with professional composure.
  • Ability to understand and follow instructions.
  • Ability to exercise sound, independent judgment.
  • Knowledge and skill in using job-appropriate technology and software applications.
  • Experience using Microsoft applications.
  • Valid license or certification as required for the job or specialty.

Nice To Haves

  • BSN, foreign-trained physician, or bachelor’s degree in a related field is strongly preferred.

Responsibilities

  • Review medical records and perform data abstraction, data entry, coding monitoring, data quality control, and analysis related to regulatory initiatives.
  • Create reports and maintain awareness of regulatory updates.
  • Complete at least 10 medical-record data abstractions per module per day with accurate and reliable information.
  • Manage data for clinical service lines, including cardiac, surgical, emergency, and orthopedic services.
  • Use continuous quality improvement tools and methodologies to ensure the integrity of performance-improvement databases.
  • Maintain current knowledge of CMS and TJC requirements for data collection and reporting.
  • Support Medical Staff efforts to identify, measure, assess, and improve patient-care quality and safety in relation to service lines.
  • Screen patient medical records, review relevant documentation, interpret clinical data, identify variations in care or utilization, extract relevant data, summarize findings, and maintain accurate review records.
  • Analyze and trend monitoring results by service, hospital center or department, and physician.
  • Create, analyze, and distribute reports to appropriate Quality and Patient Safety Committees, Chiefs of Service, or Department Heads for monthly or quarterly reports and physician quality profiles and re-credentialing.
  • Maintain quality files and databases and ensure reporting to corporate credentialing.
  • Provide education and consultation on quality indicators, regulatory compliance, and survey readiness to hospital leadership and medical staff.
  • Perform other related duties as assigned.
  • Demonstrate service-excellence behaviors and the CARE values of Compassion, Accountability, Respect, and Expertise.

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