Core Measure Data Abstractor & Policy Coordinator

Job Description

Job Description

The hospital Quality Data Abstractor and policy coordinator is responsible for collecting and analyzing healthcare data to ensure accurate reporting of hospital performance and patient outcomes. The role involves abstracting clinical information from patient records to meet regulatory requirements and to support quality improvement initiatives. The ideal candidate is a Registered Nurse (RN) with a strong background in clinical practice and experience in healthcare quality management. The abstractor will play a key role in identifying trends, ensuring compliance with national standards and helping to enhance patient care quality.

• Review and abstract clinical data from patient medical records to support hospital quality initiatives.

• Ensure data accuracy and completeness for submission to regulatory agencies such as The Joint Commission, CMS (Centers for Medicare & Medicaid Services), and other accrediting bodies.

• Utilize abstraction tools and software to enter data and generate reports.

• Prepare and submit quality data reports in a timely manner to meet reporting deadlines.

• Collaborates with quality improvement teams to validate and verify data accuracy.

• Assist in the analysis of quality data to identify trends and areas for improvement.

• Ensures compliance with federal, state, and local regulations related to healthcare quality data reporting.

• Stay updated with changes in quality measures, reporting guidelines, and abstraction methodologies.

• Participate in audits and quality reviews to verify the accuracy of reported data.

• Work closely with clinical staff, physicians, ad administration to obtain necessary information and clarify documentation.

• Participate in quality improvement meetings and committees to discuss data findings and recommendations.

• Provide education and feedback to clinical teams regarding quality measures and documentation requirements.

• Identify opportunities for process improvement in data collection and reporting.

• Develop and implement best practice for data abstraction and quality reporting.

• Contribute to the development and implementation of quality improvement initiatives and projects.

• Strong analytical and critical thinking skills with attention to detail.

• Proficient in using electronic health record (EHR) systems and quality reporting software.

• Excellent communication and interpersonal skills to interact effectively with clinical and nonclinical staff.

• Ability to work independently and manage multiple tasks with competing deadlines.

• Good organizational skills preferred. Basic computer skills required.

• Meets and strives to exceed all customer needs. Promotes positive image of the hospital.

• Displays attentiveness, tact, confidentiality, and diplomacy in responding to others.

• Works together to maximize results within the department, as well as throughout the hospital. Demonstrates flexibility, and adaptability to work process change, makes decisions, and takes appropriate actions to solve problems.

• Originates, develops, or implements new methods to accomplish objectives.

• Makes practical decisions and recommendations reflecting logical analysis of problem and/or issues. Conveys information in a concise, accurate, and understandable manner, and applies confidentiality as appropriate.

• Performs other duties as assigned.

REQUIRED KNOWLEDGE & SKILLS:

( Examples: Ability to work independently and take initiative; Good judgment and problem-solving skills; Communication skills; Interpersonal and organizational skills; Level of confidentiality)

• Excellent customer service and communication skills

• Ability to discuss and collect patient financial responsibility

• Ability to work within various environments.

• Ability to work independently, prioritize and multi-task

• Bilingual; Spanish-speaking preferred.

• Excellent customer service and communication skills

• Ability to discuss and collect patient financial responsibility

• Ability to work within various environments.

• Ability to work independently, prioritize and multi-task

• Bilingual; Spanish-speaking preferred.

EDUCATION/EXPERIENCE/LICENSURE/TECHNICAL/OTHER:

I. Education: Nursing Diploma or equivalent. II. Experience: Minimum of 2-3 years of clinical nursing experience, preferably in a hospital setting. Experience in quality improvement, data abstraction, or healthcare analytics in highly preferred. III. Software/Hardware: Microsoft word processing, spreadsheets, graphics, and relations databases required. IV. Certification/Licensure: Certification in quality management or related field (e.g: Certified Professional in Healthcare Quality - CPHQ) is a plus.