Data Validation Coordinator (Abstracting) at UPMC

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Full Time

Start Date

Immediate

Expiry Date

06 Mar, 26

Salary

0.0

Posted On

06 Dec, 25

Experience

2 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Data Validation, Quality Assurance, Clinical Documentation, Electronic Health Records, Data Analysis, Training, Communication, Attention to Detail, Anatomy Knowledge, Medical Terminology, Statistical Analysis, Team Collaboration, Problem Solving, Technical Systems Knowledge, Software Testing, Regulatory Compliance

Industry

Hospitals and Health Care

Description

UPMC Corporate Quality is hiring a Data Validaton Coordinator to join our team! This position will work Monday through Friday during standard daylight hours. After training and the orientation period has been complete, the position does allow flexibility on start and end times. Under the direction of the Senior.Manager, the Data Validation Coordinator monitors, validates, tracks and/or corrects data generated from the Cerner, CMS eCQM and Core Measurement System, GWTG/Get with The Guidelines with The Joint Commission. Completes a detailed review to validate data of downloads, accuracy statistics and quarterly/annual Patient Level Data and Error Reports. Maintains the accuracy of data reported to CMS/Centers for Medicare & Medicaid and TJC/The Joint Commission as well as PHC4 realizing the high visibility in the public eye. This information compares UPMC with external hospitals. Reporting may impact consumer hospital choices within comparing patient/physician outcomes. This position provides ongoing training and monitoring of the UPMC Abstraction Team and new Quality Nurses to ensure quality data is abstracted and submitted for comparison and reporting. The coordinator is also responsible to help transition UPMC manual abstraction to the new MU/eCQM/electronic Clinical Quality Measures while working with eMeasures Specifications to help track/identify/build/validate discrete Electronic Health Records discrete locations to help move UPMC forward with MU (Meaningful Use/governmental) requirements.Scope of the Data Validation Coordinator: Manage the overall abstraction results and eCQM reports after abstraction and before the data is released to Quality Teams at UPMC. Validating the UPMC Core Measure Data, Stroke Data, and eCQM data before that data is submitted to CMS, TJC/The Joint Commission. Responsible for alerting UPMC Quality Teams and UPMC Stroke Coordinators of any ?missed opportunities? to address front end clinical results in order to drive process improvements. The data coordinator is responsible for the training of new abstraction staff/quality nurses. Along with the continual education of the trained staff with each set of Specifications released by the government on a bi-annual basis. This requires knowledge of 16 sets of specifications across three different governmental agencies. CMS/Center for Medicare and Medicare IQR/Inpatient specifications, IPFQR/Inpatient Psychiatric Facility specification, OQR/Outpatient specifications, TJC/The Joint Commission specifications, eCQM/electroinic Clinical Quality Measures specifications, and AHA/GWTG (American Heart Association/Get With The Guidelines). This position requires continual monitoring and education of the UPMC Abstraction Team, UPMC Quality Teams, UPMC Stroke Teams, and UPMC Specialized Clinical Quality Teams to keep everyone updated and familiar with any changes needed to improve clinical quality processes. If you have prior experience with all core measures and AHA/GWTG strokes, this could be the next step in your abstracting career. Apply today! Responsibilities: Demonstrates a service-oriented approach to the position by conveying courtesy, respect, enthusiasm and positive attitude for work responsibilities. Work closely with physicians, nurses, clinical quality staff, stroke coordinators, and informatics to assure a more robust and accurate EHR/Electronic Health Record. Show initiative and offer assistance to all department customers and UPMC Health System personnel in the completion of the department's goals. Patient care issues and inter-departmental service are the first priority as a staff member while protecting confidentiality of all patient related information by adhering to UPMC Health System and Health Information Management Department policies.? Responsible for review and validation of patient level data reports, including but not limited to, national clinical initiatives such as the CMS programs for Inpatient (IP) Quality Reporting (IQR), Outpatient (OP) Quality Reporting (OQR), Inpatient Psychiatric Facility Quality Reporting (IPFQR), all of which are required to financially maintain the CMS Annual Payment Update (APU), also known as the Market Basket Update, for UPMC hospitals. ? Reports discrepancies found in the medical record to alert upstream clinical users as appropriate (Supervisor, Sr. Manager, Quality Team(s), and Stroke Team(s). ? Attends/Contributes to UPMC Departmental meetings, Tami Minnier Monthly Team Meetings, Sepsis System Committee meetings, Bi-Monthly eCQM/electronic Clinical Quality Measures Meeting, AHA and TJC National Stroke training/educational webinars as required. Partners with Cerner/vendor to beta test software packages prior to production. Reviews, edits, completes PHC4 Error Report which impacts our UPMC hospitals within CMS Care Compare in the public domain.? Adheres to department standards. Communicates any barriers affecting expected standards and works collaboratively with management team to meet department abstraction goals and deadlines. Directly responsible for monitoring 2-5 assigned abstractors work performance and providing extensive training on a one-on-one basis to assist abstractors with meeting system standards. Redirects abstractors on a weekly basis to help meet departmental deadlines. Autonomously adapts to changes in the work environment and refocuses his/her team to complete work in a timely manner. ? Trains and orients new abstractors and quality staff regarding the abstraction team department policies and procedures, as well as educating on the electronic record, clinical documentation, abstraction guidelines, and validation processes.? Balance team and individual responsibilities. Contributes to team building during monthly abstraction team meetings ensuring a positive team spirit.? Performs in accordance with system-wide competencies/behaviors.? Performs other duties as assigned. Responsible for required data capture for the Joint Commission Accreditation and Certification programs, in addition to the AHA/American Heart Association-GWTG/Get with the Guidelines-Stroke programs. Patient care issues and inter-departmental services are the priority of this position while protecting confidentiality of all patients related information. Responsible for understanding how the different technical systems interact within UPMC's MyApps in order to correctly direct work from home abstractors prior to reaching out to the HELP DESK. Must maintain a strong knowledge of technical systems to guide and direct staff on how to self-solve simple technical problems. Maintains a strong knowledge base of the CMS Quality Measure Specifications with each new versions that are released twice per year through continuous maintenance of the glossary, webinars, and continuous education for Inpatient, Outpatient, Psych, Stroke, and eCQM data collection. Maintains a strong knowledge of the current AHA/GWTG Stroke Specifications for all three levels of Stroke abstraction, Primary/Comprehensive/Acute Stroke Ready, Stroke Center facilities.? Able to create and manipulate Excel spreadsheets in order to facilitate data analysis across multiple clinical quality measures. Create work lists for 2-5 abstractors weekly. Autonomously thinks thorough and combines technical and clinical requirements to be able to communicate team needs to both clinical and technical partners. Daily monitors the EHR/Electronic Health Record for changes and alerts technical team of any issues identified. Evaluates data abstraction software performance prior to putting softwaree packages into production. Alerts technical team to any potential issues to get changes implemented prior to putting new software into production. Performs mathematical calculations for the SEP-1 Crystalloid fluid collection and trains others to follow the step-by-step method as required in the specifications. Biannually conducts IRR/Interrater Reliability studies on 2-5 abstractors for up to 16 abstracted measures. Re-educate on specifications based on staffing IRR results. Works closely with Quality nurse at multiple facilities to identify opportunities to receive greater recognition from AHA/GWTG Stroke Abstraction which links directly to each UPMC Stroke hospital and their Awards of Gold/Silver/Bronze for excellence in patient care and clinical standards (AHA and TJC) Required: A high school graduate with a minimum of two years of CMS Core Measure Abstracting experience >=2015 calendar year. A strong knowledge of anatomy, physiology, pharmacology and medical terminology is required. Good written and oral communication and organizational skills is required. Analytical ability and a high degree of attention to detail are necessary to assure thorough and precise data collection and correction. Strong computer skills, including, but limited to MS Word, MS Power Point, Windows, and MS Excel applications. Ability to clearly and concisely communicate. Ability to effectively communicate and instruct new abstractors on how to read and interpret the governmental guidelines. Must be able to work with minimal supervision. Must be able to analyze data and report trends to upper management. Internet use required.Preferred: Knowledge of IQR/Inpatient Quality Reporting, OQR/Outpatient Quality Reporting, IPFQR/Inpatient Psychiatric Facility Quality Reporting, Stroke (ASR/PSC/CSC), and eCQM/electronic Quality Measures. A graduate of an Accredited Health Information Management Program (RHIA or RHIT is eligible). Medical terminology, ICD-10-CM diagnosis and procedure codes and Diagnostic Related Groups (DRG). The ability to elicit and practice cooperation and demonstrate positive morale and team effort. Must demonstrate the ability to work under pressure in a positive team-oriented manner with diplomacy and tact. Cerner or similar electronic health record system. Licensure, Certifications, and Clearances: UPMC is an Equal Opportunity Employer/Disability/Veteran

Responsibilities

The Data Validation Coordinator monitors, validates, and corrects data from various healthcare systems, ensuring accuracy and compliance with reporting standards. They also provide training and support to abstraction staff and quality teams to improve clinical quality processes.