The Clinical Quality Specialist is responsible for the review, abstraction, compilation, evaluation, analysis, communication, and reporting of clinical quality measures data. The results and findings are distributed to regulatory agencies and to all levels of Trinity leadership, including the Board of Directors, for performance improvement purposes.
JOB DUTIES and RESPONSIBILITIES:
MINIMUM QUALIFICATIONS: A. EDUCATION, TRAINING & EXPERIENCE: Completion of 4 year accredited Health Information Management Program, Bachelor of Science in Nursing, or other related health field or equivalent experience. 3-5 years experience in data abstraction and analysis. Experience with EPIC or other electronic health record. Knowledge of performance improvement methodologies, CMS Conditions of Participation, Joint Commission Standards, ICD-10 codes, CPT codes, and MS-DRG codes preferred. Clinical experience of 4-5 years in area of health specialty preferred.
KNOWLEDGE, ABILITIES & SKILLS: Working knowledge of computer operations, electronic health records, report writing, database management, and excel. Advanced verbal and written communication and presentation skills. Ability to communicate efficiently and effectively to multiple groups and provide excellent customer service. Ability to demonstrate sound judgement and attention to detail. Ability to work independently as well as with diverse teams and individuals. Critical thinking skills to abstract data based on complex guidelines. Knowledge of the human anatomy, physiology, medical terminology and medications. Willingness to learn new software applications for data abstraction, analysis, reporting, and monitoring.