The role involves categorizing, coding, and summarizing patient medical records for registry submission with high accuracy. Specialists are responsible for maintaining data quality and adhering to regulatory requirements while collaborating with hospital partners.
Overview
Our Clinical Specialists deliver quality solutions to hospital partners across the country through data abstraction and clinical quality data management. They approach each hospital engagement as an opportunity to apply clinical and data recognition expertise with precision to advance patient outcomes and research. The Concurrent Review division is responsible for delivering real-time data support to our partners, focusing on patients within the hospital from admission through discharge.
Responsibilities
- Apply specialized knowledge to hospital partners: categorize, code, summarize, interpret and calculate registry/case information from nuanced, patient medical records.
- Ensure quality submission of all data in specified registries or measure data repositories, maintaining a high accuracy threshold.
- Prioritize, organize, and meet tight deadlines for multiple concurrent tasks and team requests; uses tact and judgement to manage expectations, flag obstacles and propose solutions in a timely manner.
- Navigate technical systems: electronic medical records (EMR) and registry/case entry tools; use team resources to troubleshoot technical issues with systems and applications with a focus on solutions.
- Contribute to team best practices, data dictionaries, abstraction guidelines, and other business rule documents; identifies process improvement opportunities to help streamline tasks and processes.
- Keeps up to date on mandated regulatory/publicly reported data requirements as specified by federal, state, payer and other agencies.
- Concurrent services are operational 7 days/week therefore team members are expected to be available for reviews every other weekend and rotate holidays. When weekends are worked, days off during the week are provided.
- Other Duties: As a growth organization, roles and responsibilities often evolve and adapt over time. As such, this job description may not comprehensively account for future activities, responsibilities, and priorities—these may evolve right along with us!
Qualifications
- Have direct experience in one or more of the following areas: emergency room care, bedside care, medical scribing and coding/billing, or quality information systems.
- Enjoy working with data, fact finding and problem solving
- Are proficient with MS Office (i.e. Microsoft Excel, Outlook, Teams), navigating search engines and multitasking between applications
- Have strong analytical and critical thinking skills to approach problems in a systematic method using the ability to synthesize data and suggest recommendations
- Demonstrate high standards for accuracy and attention to detail
- Demonstrate technical savvy and strong desire to learn new systems and technology