Employment Type:

Shift:

Description:

POSITION PURPOSE

• Clinical Reviewer opportunity who will be responsible for collecting, analyzing and reporting clinical data elements on eligible cases for CMS, TJC, and multi-hospital collaborations to improve Quality & Safety (CQI).

• Part-time benefited position scheduled 40 hours bi-weekly. (.5 FTE)

• Comp Range: Min 22.86 / Mid 27.99 / Max 33.13 per hour

MINIUMUM QUALIFICATIONS

• Education: Associates degree required.  RHIT, Medical Assistant, LPN or RN licensure preferred.   

• Experience: 3 years of experience in medical records and/or abstraction required.  Thorough knowledge of healthcare systems with hospital experience. 

WHAT YOU WILL DO

• Stay current on clinical indicators, compliance requirements, and measure specifications.

• Review medical records (concurrent/retrospective) for documentation compliance; communicate interventions to clinical staff.

• Manage outcome data tools and provide regular feedback to staff and leadership.

• Identify learning needs and provide/refer for education on clinical measures.

• Abstract medical records per client specs for populations such as Heart Failure, MI, Pneumonia, SCIP, and Stroke.

• Consult and support clinical/operational teams.

• Validate measures and pass IRR as required by client.

• Transmit data to client databases per standards and guidelines.

• Monitor QNet updates; submit clarifying questions when needed.

• Identify opportunities for improvement and reasons for defects; prepare analysis reports.

• Recommend documentation improvements.

• Respond promptly to inquiries from clinical champions, nursing leaders, executives, and corporate staff.

POSITION BENEFITS AND HIGHLIGHTS

• Full benefits package including Medical, Dental, Vision, PTO, Life Insurance, Short and Long-term Disability.

• Benefits effective Day One! No waiting periods.

• Retirement savings plan with employer match.

• Opportunity for growth and advancement throughout Trinity Health

• Tuition Reimbursement

Our Commitment

Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by federal, state, or local law.