Responsible for data abstraction and the analysis of clinical data from a variety of sources to promote performance improvement initiatives and maintain compliance with CMS and other regulatory standards. Reviews clinical documentation and ensures accuracy and completeness of information used for measuring and reporting process measures. Works closely with the Director of Quality and Patient Safety to identify opportunities for clinical quality improvement and other special projects and duties that may be identified.

• Conduct data collections, chart audits, reviews and analysis in a timely fashion.
• Based on a thorough understanding of the quality measures, responds to requests for information to include: clinical interpretation of data element definitions, data submission process, data quality and cleaning, data submission to meet regulatory or stakeholder requirements, comparative facility/corporate report interpretation, use of outcome reports for quality data collection and interpretation for the registry.
• Prepares training as necessary to assist with quality data collection.
• Using data analysis assists in developing materials for QI committees and administrative teams.
• Participates in quality related conference calls/webinars and other education as requested.
• Participates in Process Improvement and Quality Improvement efforts.
• Attention to detail and ability to prioritize and organize work.
• Maintains clear lines of communication and good working relationships with the manager, physicians and invasive cardiology staff
• Must project a positive demeanor and tone in all interactions
• Adaptive independence to tasks and sudden changes in priorities based on the department, physician, or patient needs
• Maintains hospital requirements, policies and standards on confidentiality
• Maintains regulatory requirements and complies with all organization policies

• Recognizes occurrences and files the appropriate forms with Risk Management
• Adheres to dress code, appearance is neat and clean.
• Maintains patient confidentiality at all times
• Reports to work on time and as scheduled, completes work within designated time. Overall commitment to scheduling flexibility, including voluntary time off during low volume schedules and potential overtime during high volume schedules
• Attends required in-services, education and unit meetings. Maintains an annual 75% attendance record.
• Takes responsibility to assess own learning needs to enhance personal and professional growth.

Qualifications:

• RN, LPN or CVT preferred
• Previous clinical knowledge and proficient in hospital electronic medical records required
• Able to communicate effectively in English, both verbally and in writing
• Proficient computer knowledge