Full employer posting
The Quality Performance Improvement (PI) Analyst is responsible for medical records reviews and data abstractions. Ensures data is accurate, reliable, and reported timely. Performs analysis and reports, collaborates with other departments and provide appropriate feedback to create effective and sustained change.
The Quality PI Analyst uses independent judgment and assists/facilitate the department director or designee meet departmental objectives. Experience using Microsoft applications. Responsibilities Reviews medical records and data abstraction, data entry, coding monitoring, data quality control and analysis related to regulatory initiatives and creates reports and maintains abreast on regulatory updates.
Completes a minimum of 10 medical record data abstractions per module/per day with highly accurate and reliable information. Specializes in data management for the various Clinical Service lines (Cardiac, surgical, emergency, orthopedic, etc.). Uses continuous quality improvement tools and methodologies to assure data integrity of the performance improvement related data bases.
Maintains knowledge and keep current on CMS and TJC requirements for data collection and reporting. Responsible for supporting the Medical Staffs efforts to identify, measure, assess and improve patient care quality and safety, specifically in relation to the Service Lines. Screens patient medical records reviewing pertinent documentation, interprets clinical data, identifies variations in care/or utilization based on research, clinical knowledge of disease processes and appropriate treatment modalities, extracting relevant data, summarizing findings, and maintain accurate records of all reviews performed.
Analyzes and trends the results of monitoring activities by service, hospital center/department and physician. Creates, analyze, and distribute reports to the appropriate Quality and Patient Safety Committee and /or Chief of Service or Department Head for inclusion in monthly/quarterly reports and the physician quality profile and re-credentialing process. Maintains quality files, database, and ensure reporting to corporate credentialing.
Provides education/consultation related to quality indicators, regulatory compliance, and survey readiness to hospital, leadership, and medical staff. Performs other related duties as assigned. Demonstrates behaviors of service excellence and CARE values (Compassion, Accountability, Respect and Expertise).
Experience Generally requires 3 to 5 years of related experience. Education BSN, foreign trained physician or Bachelor's degree in related field is strongly preferred. Skill Ability to analyze, organize and prioritize work accurately while meeting multiple deadlines.
Ability to communicate effectively in both oral and written form. Ability to handle difficult and stressful situations with professional composure. Ability to understand and follow instructions.
Ability to exercise sound and independent judgment Knowledge and skill in use of job appropriate technology and software applications. Credentials Valid license or certification is required as needed, based on the job or specialty. Unit Specific Credential Working Conditions Physical Requirements - Job function is sedentary in nature and requires sitting for extended periods of time.
Function may require frequent standing or walking. Must be able to lift or carry objects weighing up to 20 pounds. Jobs in this group are required to have close visual acuity to perform activities such as: extended use of computers, preparing and analyzing data and analytics, and other components of a typical office environment.
Additional information and provision requests for reasonable accommodation will be provided by the home unit/department in collaboration with the Reasonable Accommodations Committee (RAC). Environmental Conditions - Jobs in this group are required to function in a fast paced environment with occasional high pressure or emergent and stressful situations. Frequent interaction with a diverse population including team members, providers, patients, insurance companies and other members of the public.
Function is subject to inside environmental conditions, with occasional outdoor exposures. Possible exposure to various environments such as: communicable diseases, toxic substances, medicinal preparations and other conditions common to a hospital and medical office environment. May wear Personal Protective Equipment (PPE) such as gloves or a mask when exposed to hospital environment outside of office.
Reasonable accommodations can be made to enable people with disabilities to perform the described
. Additional information and provision requests for reasonable accommodation will be provided by the home unit/department in collaboration with the Reasonable Accommodations Committee (RAC).
Day Job
About the role
The Quality Performance Improvement (PI) Analyst is responsible for medical records reviews and data abstractions. Ensures data is accurate, reliable, and reported timely. Performs analysis and reports, collaborates with other departments and provide appropriate feedback to create effective and sustained change.