Clinical Performance Improvement Coordinator/ Data Abstractor

Maimonides Midwood Community Hospital program is seeking to hire a Clinical Performance Improvement Coordinator/ Data Abstractor

Core Measures: SEPSIS and Stroke

Under the direction and supervision of the Director of Quality and Performance Improvement,
supports a Maimonides Midwood Community Hospital program.

Responsibilities includes:
abstraction of data for internal and external use.
Abstract data from medical records/EMR or other tools using the appropriate guidelines to provide
accurate and timely information for the department s customers, DOH, TJC and CMS. Trains and
educates internal and external customers on the core measure rules guidelines. Review outlier
charts for accuracy and performs and record Inter-Rater-Reliability (IRR) checks. Network with
departmental customers using various techniques to team building using various communication
techniques.
PRIMARY (ESSENTIAL) DUTIES
Responsible for the submission of Joint Commission and CMS required quality data to the
designated vendor in the form of Core Measures data abstraction.
Performs data entry with an approved accuracy rate in the defined timeframe.
Responsible for generating monthly and quarterly reports related to Quality Measure
compliance.
Responsible for reviewing the records requested by designated vendor for external chart
audit validation of submitted quality data.
Serves as an educational resource on the specific measure/registry for internal and external
audiences as needed.
Identifies streamlining, documentation, and process improvement opportunities in the data
collection process.

EDUCATION & WORK EXPERIENCE:
Bachelor s Degree in Health Information Management, Nursing, or a related Healthcare
discipline preferred
Three (3) or more years of data management, data analysis, or quality improvement
experience in an acute care or clinical setting preferred.