Clinical Data Quality Specialist - Core Measures

Join us in advancing safer, consistent, quality healthcare for all. 

Job Summary: The Clinical Data Quality Specialist is a critical member of the clinical leadership team, working closely with Clinical Services Leads, Clinical Data Leads, abstractors and Client Services management through their support of various data integrity and quality tasks.

Roles and Responsibilities: 

• Complete initial IRR cases for new implementations.
• Support greenlighting process by facilitating orientation meetings and completing IRR cases for go-live/existing projects.
• Communicate greenlighting progress to CDL and Client Services management, highlight any potential concerns and partner to develop and execute an initial action plan to support successful. greenlighting progress for each team member, including providing team member re-education.
• Assist with Targeted Reviews, Specific Element Reviews, Critical Element Reviews and Fallout Reviews, as needed.
• Support maintenance of MDDs by identifying gaps and collaborating with the CDL to make updates.
• Support identification of quality improvement opportunities in collaboration with the CDL.
• Support monthly reconciliation of Fallout Communication Tool by assisting CDL with clearing differences.
• Support timely completion of ERT responses to partner by adding fallouts and responding to partner questions, when requested.
• Attend team orientations for new implementations to become SME for the project.
• Complete abstractions, as assigned.

Other Duties: Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice.

Required Skills/Abilities:

• Exposure to multiple patient medical record systems (EMRs) and vendor tools.
• Intermediate proficiency with MS Office (Microsoft Excel).
• Demonstrated ability to learn new clinical subject areas, becoming an SME.
• Ability to adapt to change including changes to partner timelines, requirements and partner assignments.
• Excellent organizational and time management skills, ability to concurrently manage multiple accounts, adjusting as needed to shifting timelines and priorities.
• Strong analytical and critical thinking skills to approach problems in a systematic method using the ability to synthesize data and suggest recommendations.
• Demonstrates high standards for accuracy and attention to detail.
• Consistently and clearly communicates, adjusting style and tone as needed to effectively collaborate with hospital partners, peers, team leads and others.
• Maintains a high degree of responsibility in keeping PHI secure and confidential.

Education and Experience:

• 1+ years direct clinical data abstraction experience and in-depth specification knowledge of Core Measures/Sepsis (within the last calendar year).
• RN or LPN Credential (preferred).
• Bachelor’s degree (preferred).
• Experience training others, providing effective and constructive feedback, identifying potential quality issues and collaborating with managers to provide support (preferred).

Total Rewards:

At Q-Centrix, our purpose—safer, consistent, quality healthcare for all—drives everything we do. To accomplish this important work, we need to attract, engage, and retain a talented team by providing a compelling, equitable rewards package comprised of an inclusive culture, flexible work environment, learning and development opportunities, competitive pay that rewards high performance, and robust benefits that support health and financial wellness. Add to this package a supportive community of people who help each other not only do meaningful work, but learn, grow, and have fun while doing so, and you get an organization that has earned the Great Place to Work distinction multiple years in a row!

The target wage range for this role is $29.00 - $34.00 per hour. Individual wage rates within this range are based on multiple factors including but not limited to skills, experiences, licensure, certifications, and other business and organizational considerations. Wage ranges are reviewed, at minimum, annually and all team members are eligible for performance-based wage rate increases annually.

In addition to our inclusive and innovative working environment and competitive pay, full-time* team members enjoy:

• A fully remote work environment with flexible schedule and a generous Paid Time Off program with additional paid time for volunteering.
• Robust benefits package including medical, vision, dental, health savings accounts, company paid short- and long-term disability, employee assistance program, paid parental leave, life insurance, accident insurance, and other voluntary benefit programs for employees and their eligible dependents.
• 401(k) retirement plan with a company match.
• Paid professional development hours and other supportive resources.

*Team members who work 30 or more hours each week are considered full-time.