Congenital Heart Surgery Database Reviewer

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🔥 3 minutes ago

⚔️ Virginia, West Virginia – Remote

⚔️ Virginia – Remote ⛰️ West Virginia – Remote

⏱ Part Time

🟢 Junior

🟡 Mid-level

👻 Ghost score 12%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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Healthcare Management Solutions, LLC

WebsiteLinkedInAll Job Openings

51 - 200 employees

Founded 2002

🏥 Healthcare

🏛️ Government

💼 Consulting

Healthcare • Government • Consulting

Healthcare Management Solutions, LLC is a U. S. -focused healthcare services firm that partners with federal and state agencies and non-profit healthcare organizations to advance healthcare quality, safety, and access. For 20 years it has supported the Centers for Medicare & Medicaid Services (CMS) and, since 2014, has worked with more than half of U. S. states through direct contracts with state health agencies. Its offerings include health facility surveys (inspections), state operations support, health insurance marketplace compliance and payment model work, medical record review, and information technology solutions. The company also highlights collective employee ownership and collaboration with prime and subcontractor partners.

📋 Description

• Review and audit clinical data submitted to the STS Congenital Heart Surgery Database against source medical record documentation • Validate case selection, procedure coding, outcomes, and registry variables for completeness and accuracy • Identify and document matches, mismatches, and potential data quality concerns using HMS audit tools • Review operative reports, progress notes, diagnostic studies, discharge summaries, and other relevant medical records • Participate in initial and ongoing reviewer training activities • Meet established productivity, quality, and inter-rater reliability standards • Escalate questions regarding data definitions, documentation interpretation, or audit findings through established channels • Participate in adjudication activities and documentation review when sites respond to preliminary audit findings • Provide clear, professional documentation regarding audit determinations and supporting rationale • Maintain confidentiality and comply with HMS security, privacy, and data protection requirements • Participate in team meetings and project calls as needed • Perform other duties as assigned

🎯 Requirements

• Registered Nurse (RN), physician, physician assistant, nurse practitioner, perfusionist, or other clinically licensed healthcare professional • Minimum two years of recent clinical, registry abstraction, quality improvement, or audit experience • Experience reviewing complex medical records • Strong understanding of clinical documentation requirements and medical terminology • Proficiency with Microsoft Office applications and electronic medical records • Ability to work independently in a remote environment • Strong analytical, organizational, and communication skills • Ability to meet established deadlines and quality standards • Direct experience with the STS Congenital Heart Surgery Database (CHSD) preferred • Previous registry audit or data validation experience preferred • Clinical experience in pediatric cardiology, congenital heart surgery, pediatric intensive care, cardiovascular surgery, or related specialties preferred • Familiarity with STS data definitions, abstraction guidelines, and performance measures preferred • Experience with Epic, Cerner, Meditech, or other major EMR platforms preferred • Experience interpreting operative reports and congenital cardiac procedure documentation preferred • Knowledge of congenital cardiac anatomy, procedures, and terminology • Ability to accurately interpret clinical documentation and apply registry definitions • Ability to manage multiple assignments simultaneously • Ability to learn and apply new audit tools, processes, and guidelines quickly

🏖️ Benefits

• Remote work arrangement • Part-time position • Reviewer training activities • Equal opportunity employment • Affirmative action workplace • E-Verify-compliant workplace • Drug-free workplace