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Overview
Under the direction of a Manager or Senior Manager, the Clinical Data Lead is an integral part of the account team as the subject matter expert, ensuring partner satisfaction through management of all quality tasks including new team member orientation, pre-submission cleaning of cases, validation of abstractor accuracy (IRR), completion of Fallout Reviews and the Second Look process.
Responsibilities
Conduct orientation to medical records for new abstraction team members
Manage the green-lighting process and completion of on-going IRR, identifying any performance concerns in collaboration with the Clinical Services Lead and escalating concerns to Senior Manager/Manager
Effectively manage the fallout review/exception/occurrence reporting and Second Look process, ensuring accurate reporting, and partnering with the Clinical Services Lead to ensure partner notification and review
Provide follow-up/feedback/education to the project team on quality issues or trends identified during greenlighting, on-going IRR, second looks, pre-submission cleaning, review of project quality trends, etc.
Collaborate with Clinical Services Lead and Senior Manager/Manager to identify quality trends in the data with respect to internal team performance, and also identify hospital quality trends to share with partners
Mentor, train and provide guidance to new hires during the onboarding process at assigned facilities
Maintain and share abstraction team support documents, including Measure Detail and Documentation Clarification Forms, regularly updating with new measures and/or partner EMR changes
Complete the 1st pass of pre-submission clean-up, update cases when missing documentation is provided Subject matter expert in assigned registry or measure. Provide expert abstraction support – 15% - 20% abstraction Other quality tasks, as assigned Attend new partner orientation in order to orient new team members as added to the project Work closely with the Clinical Services Lead, as needed, for case-specific questions Other partner tasks, as delegated by the Clinical Services Lead or the Senior Manager/Manager
Qualifications
2+ years direct data abstraction experience in the Adult National Surgical Quality Improvement Program (NSQIP).
Experience abstracting procedure targeted cases SCR (Surgical Clinical Reviewer) Certification Surgical nursing background (preferred) Exposure to multiple patient medical record systems (EMRs) and clinical databases 1+ years providing coaching and guidance to teams (preferred) RN, LPN, RT, RVT, or RCIS credentials (preferred) Intermediate proficiency with MS Office (Microsoft Excel) Demonstrates high standards for accuracy and attention to detail Demonstrates technical savvy and strong desire to learn new systems and technology Thrives working independently and takes ownership of projects Consistently and clearly communicates, adjusting style and tone as needed to effectively collaborate with hospital partners, peers, abstractors and others Demonstrates strong self-organizational and time management skills to concurrently manage multiple accounts, adjusting as needed to shifting timelines and priorities Adapts to changes in project timelines, requirements, and assignments Maintains a high degree of responsibility in keeping PHI secure and confidential Originally posted on Himalayas