RISK MGMT ANALYST

Quality Coordinator

Under the supervision of the PI/RM Director, assists with monitoring and implementation of the performance improvement programs. The Quality Coordinator abstracts CMS/Joint commission Core Measures and other mandated regulatory measures. The Quality Coordinator abstracts data elements based on regulatory specifications from the medical record and performs data entry to accrue an aggregate database, thereby providing data to support related Performance Improvement initiatives. The Quality Coordinator is expected to maintain accuracy standards set by regulatory agencies and facility standards. The Quality Coordinator supports the Director of Performance Improvement by managing incoming monitors and data entry into various databases.

Education/Training: High School Diploma; Associates Degree preferred

Experience: Two years hospital experience and experience in medical terminology. CMS Core Measure or other data abstraction experience and/or coding experience preferred.

Licensure/Certification: Current North Carolina Driver's License

Knowledge and Skills: Exhibits knowledge of the legal and regulatory requirements as related to Joint Commission CORE Measures, UHS Clinical Indicators and UHS Risk Management reporting requirements. Maintains current knowledge of federal updates for CORE Measure abstraction. Maintains working knowledge of hospital medical record and other information systems required for abstraction of accurate data. Displays written and verbal communication skills and is able to follow written and oral instructions. Able to work collaboratively, diplomatically, and with integrity in problem identification, projects management, and problem solving activities. Is knowledgeable of, can interpret, and put into practice pertinent federal, state, local regulations as well as Joint Commission and related standards. Displays knowledge of ethical principles and compliance issues in a healthcare setting. Is familiar with various types of documentation maintained in a healthcare setting. Demonstrates good understanding of medical terminology. Proficient in spreadsheet, word processing and database applications. Is knowledgeable about healthcare performance improvement activities.

Customers Served: Children (age 4-12) Adults (age 18-64) Adolescents (age 13-17) Geriatric (age 65+) Patients; families; direct-care service providers; external funding sources; service, accreditation, and licensing agencies; external case managers; other staff; and the community.

Physical Requirements: Requires sufficient body mobility to accomplish essential functions. Must be able to sit and stand for extended periods of time. Must be able to bend, stoop, and kneel with ease. Requires walking and standing often. Requires frequently speaking on the telephone. Able to write legibly and grammatically to convey patient behavior and information in the patient chart. Requires normal or corrected vision and hearing to normal range. Must be able to express and exchange ideas by means of the spoken word. Communicating fluently and effectively both verbally and in writing in English. Ability to appropriately interact with all program staff, patients, visitors, attending physicians, and other department representatives.

Employees may be required to: Work first or second shift or any day of the week Travel by car and/or air

Physical/General Environment: Works in well-lighted, well-ventilated area, with high traffic flow of patients, visitors, staff, and others.

Job Hazards: Employee may be exposed to: Internal/External disasters in which appropriate policies, procedures, and plans must be followed to protect personnel, patients, and staff; Infections/communicable diseases and hazardous/toxic agents. Encounter some chemical listed in the MSDS sheets. Participates in therapeutic crisis intervention with physically aggressive patients which may involve some personal risk.

Occupational Safety and Health Administration: Blood Borne Pathogens Standards, CFR 1910.1030 This position is susceptible to reasonably anticipated skin, eye, mucous membrane, or potential contact with blood or other potentially infectious material that may result from the performance of an employee's duties or "occupational exposure." However, all employees have access to the facility's Exposure Control Plan and MSDS Sheets. Knowledge of appropriate policies, procedures, and plans is required. Exposure: Category 1-Blood borne disease exposure through contact with contaminate blood and body fluids.