Surgical Clinical Reviewer, Team Lead

🔥 13 hours ago

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Q-Centrix

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

⚕️ Healthcare Insurance

☁️ SaaS

🏢 Enterprise

Healthcare Insurance • SaaS • Enterprise

Q-Centrix is a company dedicated to advancing clinical data management in the healthcare industry. They provide advanced data management solutions specifically designed for hospitals and health systems, focusing on optimizing performance, patient care, and process improvement. With a platform called Enterprise Clinical Data Management (eCDM), Q-Centrix offers unmatched access to clinical data, enabling streamlined operations and comprehensive analytics. They are involved in various aspects of healthcare data management, including clinical data services, research, performance improvement, and integration of technology to unlock the potential of clinical data. Their solutions are aimed at helping healthcare organizations turn fragmented data into structured, actionable insights, thus driving innovation and improving patient outcomes.

📋 Description

• 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

🎯 Requirements

• 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)

🏖️ Benefits

• A fully remote work environment with flexible schedule and a generous Paid Time Off program with additional paid time for volunteering. • Robust benefits package including medical, vision, dental, health savings accounts, company paid short- and long-term disability, employee assistance program, paid parental leave, life insurance, accident insurance, and other voluntary benefit programs for employees and their eligible dependents. • 401(k) retirement plan with a company match. • Paid professional development hours and other supportive resources.