Quality Reporting Specialist

MaineHealth; Biddeford (ME); Hybrid; USD 71,000 - 97,000; Full time

Job summary

MaineHealth seeks a Quality Reporting Specialist II combining clinical knowledge with data abstraction to support healthcare performance and outcomes. This hybrid role includes clinical record review, data abstraction, and quality reporting.

Responsibilities include validating data with providers and ensuring timely submissions to CMS and other quality reporting programs, such as surgical registries. An RN background and inpatient acute or critical care experience are strongly preferred.

Qualifications

• Education: Associate's degree or equivalent training required.
• Experience: Five years of relevant healthcare experience required.
• RN background and inpatient acute or critical care experience strongly preferred.

Responsibilities

• Abstract clinical information for externally reported quality measures.
• Review information with clinicians and ensure data integrity.
• Ensure submission to CMS and other quality reporting programs within required timeframes.
• Conduct periodic audits to maintain reporting accuracy and support the creation of quality reports.

Skills

Clinical knowledge

Data abstraction

Quality reporting

Analytical thinking

Education

Associate's degree or equivalent training

Job description

Description

MaineHealth Corporate

Professional - Nonclinical
Req #: 97472

Are you an experienced clinical professional looking to apply your expertise beyond direct patient care? MaineHealth is seeking a Quality Reporting Specialist who can combine strong clinical knowledge, analytical thinking, and a passion for quality improvement to support healthcare performance and outcomes.

This hybrid role combines clinical record review, data abstraction, and quality reporting. Responsibilities include validating clinical data with providers and ensuring accurate, timely submissions to CMS and other quality reporting programs, such as surgical registries. An RN background and inpatient acute or critical care experience is strongly preferred.

If you're ready to take your healthcare experience in a new direction, influence patient outcomes on a broader scale, and work alongside clinical and organizational leaders to make healthcare safer and better, this could be a great next step in your career at MaineHealth!

Summary:
The Quality Reporting Specialist II role is responsible for abstracting clinical information for externally reported quality measures, reviewing information with clinicians, ensuring submission to CMS and other entities within the required timeframe, conducting periodic audits to maintain integrity of the reporting program, and supporting the creation of quality reports as requested.

Required Minimum Knowledge, Skills, and Abilities (KSAs)

1. Education: Associate's degree or equivalent training required.


2. Experience: Five years of relevant healthcare experience required. Demonstrates competency in all requirements of a Quality Reporting Specialist I role.

Additional Information

MaineHealth is committed to fostering a supportive, inclusive environment where care team members can thrive while making a meaningful impact in the communities we serve across Maine and New Hampshire. We offer competitive benefits including paid parental leave, flexible work options, student loan assistance, professional development opportunities, and well-being resources-so you can grow your career while feeling supported both personally and professionally.

We recognize the value each team member brings to our organization.Any offer of employmentwill depend onqualificationssuch asskills, relevant experience, education, certifications,and otherjob-relatedfactors. Thebase rangeis an estimate and does notreflect the full valueofourtotal compensationpackage.

The pay range for this position is $71,448.00to $96,636.80per year.

Compensation for part-time positions isdeterminedon a prorated basis consistent with the scheduled hours and applicable full-time equivalent (FTE).

In addition to base pay, MaineHealth offerscomprehensivebenefits, recognition programs, career growth opportunities, and,where applicable,shiftdifferentials or other incentives.

If you have questions about this role, please contact

Notice Regarding Maine Employer Surveillance Statute: Pursuant to Maine's Employer Surveillance Statute, prospective care team members are notified that MaineHealth may monitor, collect, record, review, or retain information related to the use of its systems, networks, applications, files, data, communications platforms (including notified recordings), smart badges, building access, company vehicle GPS data, business calls, and workplace security cameras.

Information collected may be used for legitimate business purposes, including security, safety, compliance, investigations, training, quality assurance, and operational management.