Clinical Data & Report Analyst
Clinical Data & Report Analyst
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1 Vacancy
Job Description
Overview
Be inspired. Be rewarded. Belong. At Emory Healthcare.
At Emory Healthcare we fuel your professional journey with better benefits valuable resources ongoing mentorship and leadership programs for all types of jobs and a supportive environment that enables you to reach new heights in your career and be what you want to be. We provide:
- Comprehensive health benefits that start day 1
- Student Loan Repayment Assistance & Reimbursement Programs
- Family-focused benefits
- Wellness incentives
- Ongoing mentorship development and leadership programs
- And more
Work Type:
- Hybrid employee - splits time working remotely in the office and EHN providers at their place of practice.
- Up to 50% local travel requirement between provider locations.
Description
The Clinical Quality Data and Reporting Analyst serves as a liaison between the Emory Healthcare Network (EHN) Clinically Integrated Network and participating physician practices to support accurate timely and complete clinical quality reporting across multiple programs including Medicare CQMs HEDIS Stars and Commercial payer quality initiatives. This role is responsible for educating and guiding practices in appropriate clinical documentation optimizing EMR data capture enabling CPT II coding and supporting the generation and submission of QRDA/CCDA reports and supplemental data files for gap closure.
RESPONSIBILITIES:
Quality Reporting & Data Submission:
- Collaborates with EHN-affiliated practices to ensure accurate documentation in structured data fields within their EMRs to meet Medicare and Commercial payer quality reporting requirements.
- Facilitates the generation review and validation of QRDA Category I and III and CCDA reports to support clinical quality measure (CQM) submissions.
- Supports the identification extraction and submission of supplemental data files for gap closure particularly for Medicare Advantage and Commercial health plans.
- Supports the Emory quality team in preparing accurate granular data for the quality portion of payer committee meetings.
Coding & Workflow Integration:
- Provides guidance to practices on appropriate CPT II coding setup and workflow integration to support real-time quality reporting.
- Assists practices with EMR optimization efforts to align clinical workflows with quality data capture and billing requirements.
EMR Data Management & Integrity:
- Serves as the subject matter expert (SME) for quality data capture and extraction across varied EMR platforms (e.g. Epic Athenahealth eClinicalWorks Allscripts NextGen Greenway etc.).
- Works closely with EMR vendor support teams CIN IT/data teams and practice personnel to troubleshoot data integrity mapping and reporting issues.
Performance Monitoring & Improvement:
- Monitors practice-level quality performance provides ongoing feedback and supports remediation planning.
Regulatory Compliance & Program Knowledge:
- Stays current with CMS regulations HEDIS/Stars requirements and payer-specific quality programs and reporting mechanisms.
Training & Education:
- Contributes to the development of training materials and delivers educational sessions to practices on quality documentation best practices.
Additional Duties as Assigned Travel:
- Estimated travel requirement 25-50% with ability to travel to EHN physician practice locations.
Work Type:
- Hybrid employee - splits time working remotely in the office and EHN providers at their place of practice.
Minimum Required Qualifications:
Education:
- Bachelors degree in Health Information Management Nursing Public Health Healthcare Administration or a related field.
Experience:
- Minimum 3 years of experience in clinical quality reporting or population health analytics preferably within a CIN ACO or health system setting.
Knowledge skills and abilities (required):
- Strong working knowledge of HEDIS CMS Quality Payment Program (QPP) Medicare CQMs Stars measures and CPT II coding.
- Expertise with EMR platforms including configuration and data extraction/reporting capabilities. Experience with QRDA and CCDA file formats is required.
- Demonstrated experience working with supplemental data submissions to Medicare Advantage and Commercial payers.
- Familiarity with NCQA CMS and payer-specific quality reporting rules and technical specifications.
- Excellent interpersonal communication and training skills with the ability to engage clinicians staff and vendor partners.
- Detail-oriented with strong problem-solving and analytical skills.
- Proficiency in Excel health data platforms and familiarity with data query tools.
Preferred Qualifications Education:
- IN Health Information Management Nursing Public Health Healthcare Administration or a related field.
- Knowledge skills and ability requirements (preferred): Proficiency in SQL preferred.
Additional Details
Emory is an equal opportunity employer and qualified applicants will receive consideration for employment without regard to race color religion sex national origin disability protected veteran status or other characteristics protected by state or federal law.
Emory Healthcare is committed to providing reasonable accommodations to qualified individuals with disabilities upon request. Please contact Emory Healthcares Human Resources at . Please note that one weeks advance notice is preferred.
Required Experience:
IC
Employment Type
Full-Time
