Surgical Clinical Reviewer (NSQIP) Team Lead

About the role

Job Description: Under the direction of a Manager or Senior Manager, the Clinical Data Lead is an integral part of the account team as the subject matter expert, ensuring partner satisfaction through management of all quality tasks including new team member orientation, pre-submission cleaning of cases, validation of abstractor accuracy (IRR), completion of Fallout Reviews and the Second Look process.

Roles And Responsibilities

• Conduct orientation to medical records for new abstraction team members
• Manage the green-lighting process and completion of on-going IRR, identifying any performance concerns in collaboration with the Clinical Services Lead and escalating concerns to Senior Manager/Manager
• Effectively manage the fallout review/exception/occurrence reporting and Second Look process, ensuring accurate reporting, and partnering with the Clinical Services Lead to ensure partner notification and review
• Provide follow-up/feedback/education to the project team on quality issues or trends identified during greenlighting, on-going IRR, second looks, pre-submission cleaning, review of project quality trends, etc.
• Collaborate with Clinical Services Lead and Senior Manager/Manager to identify quality trends in the data with respect to internal team performance, and also identify hospital quality trends to share with partners
• Mentor, train and provide guidance to new hires during the onboarding process at assigned facilities
• Maintain and share abstraction team support documents, including Measure Detail and Documentation Clarification Forms, regularly updating with new measures and/or partner EMR changes
• Complete the 1st pass of pre-submission clean-up, update cases when missing documentation is provided
• Subject matter expert in assigned registry or measure. Provide expert abstraction support – 15% - 20% abstraction
• Other quality tasks, as assigned
• Attend new partner orientation in order to orient new team members as added to the project
• Work closely with the Clinical Services Lead, as needed, for case-specific questions
• Other partner tasks, as delegated by the Clinical Services Lead or the Senior Manager/Manager

Required Skills

• Demonstrates high standards for accuracy and attention to detail
• Demonstrates technical savvy and strong desire to learn new systems and technology
• Thrive working independently and takes ownership of projects
• Consistently and clearly communicates, adjusting style and tone as needed to effectively collaborate with hospital partners, peers, abstractors and others
• Demonstrates strong self-organizational and time management skills to concurrently manage multiple accounts, adjusting as needed to shifting timelines and priorities
• Adapts to changes in project timelines, requirements, and assignments
• Maintains a high degree of responsibility in keeping PHI secure and confidential

Education And Experience

• 2+ years direct data abstraction experience in the Adult National Surgical Quality Improvement Program (NSQIP)
• Experience abstracting procedure targeted cases SCR (Surgical Clinical Reviewer) Certification
• Surgical nursing background (preferred)
• Exposure to multiple patient medical record systems (EMRs) and clinical databases
• 1+ years providing coaching and guidance to teams (preferred)
• RN, LPN, RT, RVT, or RCIS credentials (preferred)
• Intermediate proficiency with MS Office (Microsoft Excel)

Total Rewards

Total Rewards At Q-Centrix, our purpose—safer, consistent, quality healthcare for all—drives everything we do. To accomplish this important work, we need to attract, engage, and retain a talented team by providing a compelling, equitable rewards package comprised of an inclusive culture, flexible work environment, learning and development opportunities, competitive pay that rewards high performance, and robust benefits that support health and financial wellness.

Commitment To Diversity, Equity, Inclusion And Belonging

At Q-Centrix (An MRO Company), we hire people who love learning, value innovation, and believe in our purpose of safer, consistent, quality health care for all. We applaud qualified applicants who are accountable and committed to producing quality work. As an Equal Opportunity Employer, we support and value diversity, dignity, and respect in our work environment, and are committed to creating an inclusive environment in which everyone can thrive.