CV Services Quality & Accreditation Coordinator

The Quality and Accreditation Coordinator for CV Services performs clinical auditing and data abstraction of patient records in support of Augusta Healthsclinical process improvement and patient safety initiatives associated with participating registries. Results ofaudits and identified trends are reviewed with CV leadership clinical nurse specialists unit-assigned clinical staffperformance improvement staff and physician quality task forces. The QA Coordinators key responsibility is to collect and submit accurate complete and timelydata for their assigned NCDR registries. This task is accomplished through high-quality datacompilation documentation and data entry of identified proceduresinto the associated registry/vendor tool platform.

The QA Coordinator also serves as an integral part of the CV Leaderships team in ensuring that accreditation data is abstracted submitted appropriately and timely to various credentialing organizations thereby supporting the mission of Augusta Health.

The QA Coordinator supports CV Leadership by assisting with the compilation of vital statistics to include volume data STEMI data interfacing with the EMS community presenting QA data to senior executives at AH and serving as the subject matter expert for CV Quality Data. QA Coordinator also performs other duties as assigned.

Education Licensure Certification Experience:

• Bachelors Degree required
• Masters Degree preferred
• Current BLS certification required
• ACLS within 6 months of employment required
• Certified Medical Assistant Licensed Practical Nurse or Emergency Medical Technician preferred
• Minimum of 2 years of Cath Lab experience; or prior CV Quality experience required.
• Minimum of one year of NCDR Data Abstraction preferred.
  

Essential Job Duties:

• Reviews 100 percent of NCDR CathPCI and/or Chest Pain/MI patients for inclusion in the applicable DataRegistries as identified by the facility.
• Collects preoperative intraoperative and 30-day postoperative follow-up data componentsfor the program through the effective utilization of the hospital medical record systems.
• Identifies streamlining and process improvement opportunities in the data collectionprocess.
• Responsible for the accurate complete and timely entry of data into the programsdatabase.
• Maintain accuracy threshold of greater than or equal to 95 percent.
• Serves as an educational resource on the NCDR Registry for internal and externalaudiences.
• Clearly communicates any data documentation needs to support accurate and high reliabledata collection and reporting.
• Participates in NCDR educational opportunities as they related to their assigned position.
• Apply specialized clinical knowledge of hospital partners: categorize code summarize interpret and calculate registry/case information from nuanced patient medical records.
• Ensure quality submission of all data in specified registries or measure data repositories maintaining a high accuracy threshold.
• Prioritize organize and meet tight deadlines for multiple concurrent tasks and team requests; use tact and judgment to manage expectations flag obstacles and propose solutions in a timely manner.
• Navigate new technical systems: electronic medical records (EMR) and registry/case entry tools; use team resources to troubleshoot technical issues and applications with a focus on solutions.
• Contribute to team best practices data dictionaries abstraction guidelines and other business rule documents; identify process improvement opportunities to help streamline tasks and processes.
• Keeps up to date on mandated regulatory/publicly reported data requirements as specified by federal state payer and other agencies.
• Supports CV Leadership by assisting with the maintenance and submission of various accreditation packets to multiple professional agencies in the advancement of organizational mission to include accreditations and accrediting bodies.
• Supports CV Leadership in the monitoring maintenance and creation of various reports outlining productivity quality and other metrics to support the fiscal health of the service line.
• Presents key data elements to organizational leadership and outside agencies as required during quarterly quality meetings.
• Support CV Leadership by assessing training needs of staff related to procedural documentation and mentoring team members on process improvement opportunities.
• Performs all other functions as related to this job and assigned.

Some benefits of working at Augusta Health include:

• Generous paid time off to promote work life balance
• Competitive Pay
• Retirement Plan
• Medical Dental and Vision Benefits
• Free onsite parking
• Tuition reimbursement
• Onsite childcare

Company Information:

Augusta Health is a mission-driven independent nonprofit community health system located in Fishersville Virginia in Virginias scenic Shenandoah Valley. Augusta Health offers a full continuum of inpatient and outpatient services which includes Augusta Medical Center a 255 bed inpatient facility and Augusta Medical Group which is comprised of 40 practice locations and four urgent care locations.

Equal Opportunity:

Augusta Health recruits hires and promotes qualified candidates for employment without regard to age color disability gender identity or expression marital status national or ethnic origin political affiliation race religion sex (including pregnancy) sexual orientation veteran or military discharge status and family medical or genetic information.

Required Experience:

IC