MAMMOGRAPHY PROGRAM COORDINATOR/MQSA CONSULTANT

THIS IS A TEMPORARY PRN POSITION

COMPENSATION RANGE: $50.30 TO $75.44

NON-EXEMPT POSITION

ESSENTIAL FUNCTIONS AND BASIC DUTIES

Supervisory-Specific Performance Expectations, Duties, and Responsibilities:

• N/A

Position-Specific Performance Expectations, Duties, and Responsibilities: • Responsible for the daily operation of the women's health section of radiology. • Responsible for suggesting changes in procedures, policies, and quality improvement, as well as coordinating training and development in breast imaging specialties.

• Adheres to all FDA guidelines for the mammography section.
• Serves as the facility MQSA Consultant and primary resource for MQSA, FDA,

ACR, and state regulatory compliance. • Coordinates MQSA inspections, ACR accreditation, and regulatory survey readiness. • Maintains all required MQSA documentation, personnel qualifications, continuing education/experience, QC records, physicist reports, medical audits, consumer complaints, and corrective actions. • Oversees the Mammography QA/QC program and reviews all required quality control activities. • Leads mammography quality improvement initiatives and maintains continuous inspection readiness.

• Develops and reviews mammography policies and procedures.
• Monitors outcomes audits, repeat analysis, image quality, and performance

metrics.

• Provides staff education regarding MQSA requirements and best practices.
• Serves as liaison with radiologists, physicists, vendors, quality, and

leadership.

• Maintains appropriate records for all accreditation processes and inspections.
• Maintains a structured reporting system to ensure accurate audit reporting,

statistical tracking, and resolution of workflow issues.

• Ensures completion of daily QA and preventative maintenance scheduling.
• Demonstrates advanced knowledge of Mammography imaging procedures
• Performs all exams based on Imaging Department Protocols or protocols the exam

with the Radiologist.

• Practices radiation safety.
• Ability to operate equipment consistently with the manufacturer's

recommendations. • Troubleshoots equipment problems and independently calls a service engineer if the malfunction needs outside maintenance. • Verifies exam orders, identifies the patient through two means of identification, and provides exam education. • Reviews and documents the patient's medical history, obtains required informed consent, and ensures all necessary paperwork and prior studies are complete and available before submitting procedures for Radiologist interpretation. • Maintains accurate patient records in EHR, including charging procedures and supplies. • May be required to perform other functions within the clinic. Any additional training required will be provided. • Demonstrates flexibility by assisting in other modalities, adjusting schedules, and taking calls, overtime, or holiday shifts as needed.

• Obtains additional training or certification as required.
• Assists with clerical duties, phone reception, and patient transportation when

required.

• Assists, trains, or cross-trains imaging staff members as directed.
• Must be self-motivated, use independent judgment, and be able to work with

minimum supervision.

• Responsible for ordering, stocking, and maintaining supply inventory.
• The above statements reflect the general details considered necessary to

describe the principal functions of the job as identified and shall not be considered as a detailed description of all work requirements that may be inherent in the position. Performs other duties as assigned. Organization-Specific Performance Expectations, Duties, and Responsibilities: • Demonstrates full commitment to the CHOICE values of MRH and consistently represents the organization in a positive, professional manner. • Establishes and maintains effective verbal and written communication, fostering positive working relationships with patients, staff, and vendors. • Adheres to the MRH attire and dress code in accordance with organizational policies and procedures. • Exhibits initiative and self-motivation; maintains a consistent level of productivity and manages time and responsibilities effectively. • Completes all required annual education, training, in-services, and licensure/certification updates; actively participates in departmental and organizational meetings or reviews meeting minutes as required.

• Maintains strict patient confidentiality at all times.
• Reports to work punctually and completes assigned duties within established

timeframes. • Actively contributes to departmental and organization-wide performance improvement and continuous quality initiatives. • Ensures compliance with all regulatory requirements, maintaining adherence to departmental, hospital, state, and federal standards and policies. • Follows all infection control, safety, and risk management procedures to maintain a safe environment for patients, the public, and staff.

QUALIFICATIONS

• Must be at least 18 years of age (21 for positions requiring driving, with a valid driver's license).

• Must be legally authorized to work in the United States.
• Must successfully pass a background check.
• Must successfully pass a: pre-employment drug screen and breath alcohol test

(if applicable). • Must complete an Employee Health meeting prior to starting employment.

EDUCATION, LICENSURE(S), AND CERTIFICATION(S)

* Required Graduate of an accredited Radiologic Technologist program. ARRT registration in Radiology (R) and Mammography (M). * Current Basic Life Support (BLS) certification (or must obtain within 90 days of hire or transfer)

EXPERIENCE

Preferred Two (2) years prior experience as a practicing Radiologic Technologist, CT, and MRI Technologist. Cross-trained into other modalities, including, but not limited to: CT, MRI, and DEXA. Experience with electronic records, including PACS and EPIC Required Prior Regulatory Survey Experience (MQSA) Prior Breast Imaging Quality program oversight