Clinical Data Quality & Review Specialist

Adventist Health; St. Helena (CA); On-site; USD 89,603 - 134,404; Full time

Job summary

Adventist Health in Saint Helena, CA seeks a data quality professional to ensure accurate abstraction, validation, and submission of clinical data supporting CMS programs and safety initiatives.

The role applies clinical knowledge to identify trends, generate actionable insights for leaders, and maintain compliance with accreditation standards, while collaborating with registry vendors and the quality teams.

Qualifications

• Associate's or Technical Degree in Nursing, Healthcare Administration, or Health Information Management required.
• Two years of experience in quality management, data abstraction, or healthcare analytics required.
• Three years of experience in peer review, abstraction, quality assurance, or hospital data reporting preferred.

Responsibilities

• Performs concurrent and retrospective chart abstraction for peer review, quality, and regulatory reporting.
• Performs case abstraction for assigned registries and CMS measures; coordinates with registry vendors.
• Liaises between Quality Department, clinical stakeholders, and registry partners; provides feedback on documentation gaps or trends.
• Adheres to confidentiality requirements and regulatory standards.
• Monitors data trends and provides insights to quality and patient safety leaders.

Skills

Quality management

Data abstraction

Healthcare analytics

Peer review

Quality assurance

Hospital data reporting

Education

Associate's or Technical Degree in Nursing, Healthcare Administration, or Health Information Management

Certified Professional in Healthcare Quality (CPHQ)

Certified Professional in Patient Safety (CPPS)

Job description

Adventist Health in Saint Helena, CA seeks a data quality professional to ensure accurate abstraction, validation, and submission of clinical data supporting CMS programs and safety initiatives.

The role applies clinical knowledge to identify trends, generate actionable insights for leaders, and maintain compliance with accreditation standards, while collaborating with registry vendors and the quality teams.