Description
UPMC Corporate Quality is hiring a Data Validation Coordinator to join our team! This role will work fully remote and have the opportunity to work four 10-hour shifts or five 8-hour shifts, Monday through Friday.
Under the direction of the Manager, the Coordinator monitors, validates, tracks and/or corrects data generated from the Cerner eCQM and Core Measurement System. Completes a detailed review to validate data of downloads, productivity, accuracy statistics and quarterly/annual Patient Level Data and Error Reports. Realizes that the accuracy of data reported to CMS/Centers for Medicare & Medicaid and TJC/The Joint Commission as well as PHC4 is extremely critical due to high visibility in the public eye. This information compares UPMC with external hospitals. Reporting may impact consumer hospital choices withn comparing patient/physician outcomes. This position provides ongoing training and monitoring of the UPMC Abstraction Team and 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/identifiy/build/validate discrete Electronic Health Records discrete locations to help move UPMC forward with MU requirements.
Do you have prior abstractor experience? If so, this could be the next step in your career! Apply today!
Responsibilities:
- Provides training to newly hired UPMC Team abstractors or intensified auditing and ongoing training to those abstractors who do not meet the 95% accuracy rate.
- Runs Cerner Infoview reports weekly to track outcomes and follow-up with both Abstractors & Quality as required.
- Abstracts clinical Measures IQR/Inpatient Quality Reporting, OQR/Outpatient Quality Reporting, IPFQR/Inpatient Psychiatric Facility Quality Reporting, ASC/Ambulatory Quality Reporting, & AHA/GWTG (Get With The Guidelines Stroke for PSC/Primary Stroke Centers & CSC/Comprehensive Stroke Centers data as required by CMS &/or TJC/The Joint Commission.
- Reviews the daily Measure fall-outs and communicates these findings and make suggestions to possibly reverse the fallout to the UPMC QJI/Quality Improvement System Staff &/or management plus suggest improvements to prevent reoccurrences.
- Functions as the contact liaison between PHC4 and UPMC for profile updates for the interfaces. Makes recommendations to the profiles to decrease or eliminate UPMC errors.
- Serves as internal resource for UPMC abstractors, data entry staff, and departments regarding data collection and technical issues. Works with internal IS Dept. to upgrade system and correct technical issues.
- Demonstrates a service-oriented approach to the position by conveying courtesy, respect, enthusiasm and positive attitude for work responsibilities. 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.
- Validates and corrects as necessary any individual patient level data generated for various reports issued by PCH4 to meet PHC4 deadlines.
- Compares CODING outstanding lists to ensure all Cerner imports are accounted for/complete DQ of Lab Data Import yearly as required by PHC4. Serves as liaison with Cerner, Quinitles, & UPMC RCS IT Team for related hardware/software issues Reviews/edits the Cerner Clearinghouse/Submission Data to CMS on a quarterly basis.
- On an ongoing basis, coordinates the quality audit process of the UPMC Abstraction Team.. All audits are re-analyzed for accuracy. The audit results are reviewed with each abstractor and the Coding/Quality Data Manager. Results of quality percentages are used for re-education of the UPMC Abstraction Team quarterly.
Qualifications
Required:
- A high school graduate with a minimum of two years of CMS Core Measure Abstracting experience.
- A strong knowledge of anatomy, physiology, pharmacology and medical terminology is necessary.
- Analytical ability and a high degree of accuracy are necessary to assure thorough and precise data collection and correction.
- Strong personal computer skills, including word processing, Windows, and Excel application.
- The ability to effectively communicate and instruct employees regarding workflow and proper procedures.
- Must possess and apply analytical skills and work independently to establish priorities.
Preferred:
- Knowledge of Core Measure abstraction and eCQM/electronic Quality Measures.
- A graduate of an Accredited Health Information Management Program (RHIA or RHIT is eligible).
- Familiarity with 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.
Licensure, Certifications, and Clearances:
- Act 34
UPMC is an Equal Opportunity Employer/Disability/Veteran
COVID-19 Vaccination Information: Individuals hired into this role must comply with UPMC’s COVID vaccination requirements upon beginning employment with UPMC. Refer to the COVID-19 Vaccination Information section at the top of this page to learn more.
Total Rewards
More than just competitive pay and benefits, UPMC’s Total Rewards package cares for you in all areas of life — because we believe that you’re at your best when receiving the support you need: professional, personal, financial, and more.
Our Values
At UPMC, we’re driven by shared values that guide our work and keep us accountable to one another. Our Values of Quality & Safety, Dignity & Respect, Caring & Listening, Responsibility & Integrity, Excellence & Innovation play a vital role in creating a cohesive, positive experience for our employees, patients, health plan members, and community. Ready to join us? Apply today.