Clinical Improvement Quality Specialist I

Duties and Responsibilities

Essential Functions:

• Provides timely, high quality data reporting and abstraction and related clinical information collection.
• Coordinates clinical data and audit finding needs to improve patient care delivery, identifies opportunities for improvement and achieves desired patient outcomes.
• Performs structured audits of medical records. Reviews records for completeness, accuracy, legibility, follow up of abnormal test results and other indicators.
• Compiles data for and prepares regularly scheduled or special reports.
• Explains data results as necessary.
• Evaluates procedures, resolves problems and implements changes to improve production.
• Verifies the data integrity for statistical analysis.
• Establishes data bases as needed by leadership.
• Provides consultation and recommendations based on analytical results to improve business processes or outcomes with the provision of on-going education and support.
• Formulates validation inter-rater reliability and quality assurance strategies and methods to ensure accurate and reliable data, ensuring appropriate departmental/service line/project and corporate standards are met and the data is correct (may include report generation and comparison). Proactively corrects errors as identified.
• Works with customer to define informatics and reporting requirements, including System leadership.
• Collaborates with appropriate Service Lines/IS team for any identified problems and/or outcomes for further investigation or recommended action.
• Participates as a professional team member in professional committee and survey discussions by attendance and active, thoughtful participation.

Common Expectations:

• Provides excellent, timely and high quality service to internal and external customers.
• Maintains established policies and procedures, objectives, quality assessment, safety, environmental and infection control standards.
• Enhances professional growth and development through participation in educational programs, current literature, in-service meetings, and workshops.
• Meets data filing and/or reporting/submission timelines and deadlines, ensuring highest quality assurance.
• Routinely performs professional clinical improvement assessments in all job aspects. Participates in Performance Improvement projects to enhance quality and streamline workflow.
• Provides outstanding service to all customers; fosters teamwork; and practices fiscal responsibility through improvement and innovation.

Travel Requirements:

• Estimated Amount: 5% - Travel required.